Myeyedr Optometry of Florida, LLC
Organization Active NPI Optometrist · New Smyrna Beach, FL
NPI 1942976014 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1942976014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF FLORIDA, LLC
- Practice address
- 524 Canal St
New Smyrna Beach, FL 32168-7012 - Phone
- (386) 423-5190
- Fax
- (386) 423-1490
- NPI assigned
- Aug 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 14
Practitioners 145
-
John Joseph Mertzlufft, O.D.
-
Jeffrey L Timko, OD
-
Ayaat Alakashi, OD
-
Samer Aldaher, OD
-
Bayan O Allaz, OD
-
Margaret Allen, O.D.
-
Sagar Amin, O.D.
-
Steven Mark Anhalt, O.D.
-
Brian Atkins, OD
-
Ashley Baker, O.D.
-
Gerard Joseph Balski, O.D.
-
James Kevin Berry, O.D., P.A.
-
Pamela J Bingham, OD
-
James Brauss, PA
-
Justin Burtner, OD
-
Tisha Cabatana, O.D.
-
Stephen E Chambers, O.D.
-
Clyde A Chapman, OD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2324170 | Myeyedr Optometry of Florida LLC | Certificate of waiver | May 19, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Myeyedr Optometry of Florida, LLC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150603002802 | FL | Part B Supplier - Clinic/Group Practice | 0143541037 |
Receives reassigned benefits from 306 practitioners This NPI is an additional NPI on the enrollment |
| O20231023000951 | FL | DME Supplier - Physician - Optometrist | 0143541037 | Practice locations: New Smyrna Beach, FL |
National Provider Directory
- Tax ID family
- Myeyedr
Locations
840 N Stone St
Deland, FL 32720
Phone (386) 734-1766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
524 Canal St
New Smyrna Beach, FL 32168-7012
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in New Smyrna Beach, FL
- Brandon T Mundell
- Janairis Fabiola Munoz-Perez
- Nikole L Murray
- My Mental Health Project, Inc.
- Ashley Myers
- Alexandra Anne Nagle
- Mark Nagrani
- Mark K Nagrani
- Nicole Nagrani
- Lilliana Marie Najera
All providers in New Smyrna Beach, FL · Optometrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.