Individual provider Active NPI

Emily Hanlon, OD

  • Optometrist
  • Clermont, FL
National Provider Identifier
1972917904
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008177 Issued in NY
Practice address
2391 US-27S
Clermont, FL 34711
Phone
(352) 988-2459
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008177 NY Primary

Addresses

Primary practice location

2391 US-27S
Clermont, FL 34711

Mailing address

2391 US-27 S
Clermont, FL 34711
Phone (352) 988-2459

Other practice location 1

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624-1367
Phone (585) 328-0153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140912001323 NY Practitioner - Optometry 0042439622 Reassigns benefits to 1 organization
I20210520000586 FL Practitioner - Optometry 0042439622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008177NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Steve B. Park, MD PC Optometrist CurrentSince Aug 4, 2014 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Steve B. Park, MD PC Optometrist CurrentSince Aug 4, 2014 Accepting new patients
Eye Doctors Optical Outlets Optometrist PastSince May 25, 2021 Accepting new patients

Locations

2670 E State Road 50
Unit F
Clermont, FL 34711
Phone (352) 988-2459

2391 S US Highway 27
Clermont, FL 34711
Phone (352) 988-2459

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

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1972917904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 US-27 S",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-988-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 US-27S",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-988-2459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Buffalo Rd",
            "address_2": "Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146241367",
            "country_code": "US",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLON",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.