Individual provider Active NPI

Emily Catherine Hall, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1972096857
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5541 Issued in FL
Practice address
12311 W Linebaugh Ave
Tampa, FL 33626-2651
Phone
(813) 814-2020
Fax
(813) 814-9944
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 OPC5541 FL Primary

Addresses

Primary practice location

12311 W Linebaugh Ave
Tampa, FL 33626-2651

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

2670 Gulf To Bay Blvd
Clearwater, FL 33759-3901
Phone (727) 777-4546

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
I20220110002660 FL Practitioner - Optometry 9335531011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

12311 W Linebaugh Ave
Tampa, FL 33626-2651
Phone (813) 814-2020

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

2140 Crawfordville Hwy
Crawfordville, FL 32327-1009
Phone (850) 926-9213

21517 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639-5101
Phone (813) 949-0421

36021 US Hwy 19 N
Palm Harbor, FL 34684-1531
Phone (727) 772-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 15, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Nov 15, 2024 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Aug 28, 2024 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Aug 28, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

2650 Tampa Rd
Ste A
Palm Harbor, FL 34684
Phone (727) 785-4419

36021 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

12311 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 814-2020

2301 Wilton Dr
Ste C1
Wilton Manors, FL 33305
Phone (954) 764-6906

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1972096857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262651",
            "telephone_number": "813-814-2020",
            "fax_number": "813-814-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337593901",
            "country_code": "US",
            "telephone_number": "727-777-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.