Individual provider Active NPI

Kranston G Boodram, OD

  • Optometrist
  • Apopka, FL
National Provider Identifier
1942387428
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3089 Issued in FL
Practice address
210 E 7TH St
Apopka, FL 32703-5328
Phone
(407) 905-8827
Fax
(407) 660-1667
NPI assigned
Nov 1, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3089 FL Primary

Addresses

Primary practice location

210 E 7TH St
Apopka, FL 32703-5328

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827

Other practice location 1

2460 E Highway 50
Clermont, FL 34711-6017
Phone (352) 708-7080

Other practice location 2

1911 N Mills Ave
Orlando, FL 32803-1407
Phone (407) 893-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000738 FL Practitioner - Optometry 9234219882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye Clinic P aGroup PAC ID 6406758846, 25 clinicians

Practice addresses (Care Compare)

2875 Maguire Rd
Windermere, FL 34786-6057
Phone (407) 299-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Ophthalmics, PLLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Florida Eye Clinic P a Optometrist CurrentSince Apr 10, 2025 Accepting new patients
Park Avenue Ophthalmics, PLLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Community Health Centers, Inc CurrentSince Jan 12, 2026 Accepting new patients
Magruder Eye Institute, PLLC CurrentSince Jan 15, 2019 Accepting new patients
Community Health Centers, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Community Health Centers, Inc. Past Accepting new patients
Community Health Centers, Inc. Past Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

2269 E Semoran Blvd
Apopka, FL 32703
Phone (407) 886-2093

2460 E Highway 50
Clermont, FL 34711
Phone (352) 708-7080

2065 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 344-3603

2225 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-2908

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332

1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200

2917 Edgewater Dr
Orlando, FL 32804
Phone (321) 423-2030

345 W Michigan St
Ste 118
Orlando, FL 32806
Phone (407) 896-0324

4442 Curry Ford Rd
Orlando, FL 32812
Phone (407) 203-8957

7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001

7975 Lake Underhill Rd
Ste 140
Orlando, FL 32822
Phone (407) 281-0866

1089 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (850) 626-1300

840 Mercy Dr
Pine Hills, FL 32808
Phone 4079058827 ext. 2997

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

2875 Maguire Rd
Windermere, FL 34786
Phone (407) 299-8300

110 S Woodland St
Winter Garden, FL 34787

5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kboodram@floridaeyeclinic.intellechartdirect.net
  • Direct secure messaging: kboodram@magrudereye.imwdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1942387428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035328",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 E Highway 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116017",
            "country_code": "US",
            "telephone_number": "352-708-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031407",
            "country_code": "US",
            "telephone_number": "407-893-8200",
            "fax_number": "407-893-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOODRAM",
        "first_name": "KRANSTON",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.