Individual provider Active NPI

Aubrianna Diaz, OD

  • Optometrist
  • Gibsonton, FL
National Provider Identifier
1962183582
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6319 Issued in FL
Practice address
13135 Kings Lake Dr Unit 101
Gibsonton, FL 33534-3960
Phone
(813) 498-1905
Fax
(813) 898-0330
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 OPC6319 FL Primary

Addresses

Primary practice location

13135 Kings Lake Dr Unit 101
Gibsonton, FL 33534-3960

Mailing address

14716 Crescent Rock Dr
Wimauma, FL 33598-6193

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
I20230918000751 FL Order and Referring Only - OptometryPractitioner - Optometry 5395109888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nehaul & Stryker, O.D., PLLC Optometrist PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1962183582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 CRESCENT ROCK DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 KINGS LAKE DR UNIT 101",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343960",
            "telephone_number": "813-498-1905",
            "fax_number": "813-898-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "AUBRIANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

Verify at the official NPI Registry.