Individual provider Active NPI

Tulsi Amin, OD

  • Optometrist
  • Edgewater, FL
National Provider Identifier
1972462620
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6864 Issued in FL
Practice address
303 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone
(386) 424-1422
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 6864 FL Primary

Addresses

Primary practice location

303 N Ridgewood Ave
Edgewater, FL 32132-1617

Mailing address

1509 Oak Forest Dr
Ormond Beach, FL 32174-3409
Phone (386) 275-9252

Other practice location 1

424 Luna Bella Ln Ste 127
New Smyrna Beach, FL 32168-4685
Phone (386) 957-3715

Other practice location 2

2638 Lpga Blvd
Daytona Beach, FL 32124-1008
Phone (386) 271-3070

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513002001 FL Practitioner - OptometryPractitioner - Ophthalmology 7416426044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orest M Krajnyk MD PAGroup PAC ID 5799053252, 3 clinicians

Practice addresses (Care Compare)

303 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone (386) 424-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6864FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orest M Krajnyk MD PA CurrentSince Apr 4, 2026 Accepting new patients
Volusia Center for Surgical Excellence, LLC CurrentSince Apr 4, 2026 Accepting new patients

Locations

2638 Lpga Blvd
Daytona Beach, FL 32124
Phone (386) 271-3070

303 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 424-1422

424 Luna Bella Ln
Ste 127
New Smyrna Beach, FL 32168
Phone (386) 424-1422

Organizations & group practices 2

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": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1972462620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 OAK FOREST DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743409",
            "telephone_number": "386-275-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321617",
            "telephone_number": "386-424-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Luna Bella Ln Ste 127",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321684685",
            "country_code": "US",
            "telephone_number": "386-957-3715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2638 Lpga Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321241008",
            "country_code": "US",
            "telephone_number": "386-271-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "TULSI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.