Individual provider Active NPI

David Brendon Sabin, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1952408429
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4238 Issued in FL
Practice address
1155 S Dale Mabry Hwy
Suite 16
Tampa, FL 33629-5035
Phone
(813) 843-2653
NPI assigned
Sep 19, 2006
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4238 FL Primary

Addresses

Primary practice location

1155 S Dale Mabry Hwy
Suite 16
Tampa, FL 33629-5035

Mailing address

1155 S Dale Mabry Hwy
Suite 16
Tampa, FL 33629-5035
Phone (813) 843-2653

Other practice location 1

3115 W Swann Ave
Tampa, FL 33609-4617
Phone (813) 492-2020

Other identifiers 2

IdentifierTypeStateIssuer
000796700MedicaidFL
36070OtherMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsabin@floridaeye.intellechartdirect.net Gregory L Henderson MD FACS INC

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
I20080112000079 FL Practitioner - Optometry 2860573177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 Vonderburg Dr
Brandon, FL 33511-5982

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
96.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2019 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist PastSince Feb 2, 2025 Accepting new patients

Locations

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

749 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-7624

4590 Park Blvd N
Ste 200
Pinellas Park, FL 33781
Phone (727) 547-4856

2002 S Alexander St
Plant City, FL 33563
Phone (813) 754-3593

13106 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 392-3311

612 N US Highway 41
Ruskin, FL 33570
Phone (813) 645-3831

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471

3115 W Swann Ave
Tampa, FL 33609
Phone (813) 492-2020

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dsabin@floridaeye.intellechartdirect.net

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1952408429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S DALE MABRY HWY",
            "address_2": "SUITE 16",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295035",
            "telephone_number": "813-843-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S DALE MABRY HWY",
            "address_2": "SUITE 16",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295035",
            "telephone_number": "813-843-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 W Swann Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094617",
            "country_code": "US",
            "telephone_number": "813-492-2020",
            "fax_number": "813-492-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABIN",
        "first_name": "DAVID",
        "middle_name": "BRENDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000796700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "36070",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsabin@floridaeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Gregory L Henderson MD FACS INC",
            "address_1": "3115 W Swann Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336094617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.