Individual provider Active NPI

Allison Marie Chapman, OD

  • Optometrist
  • Winter Haven, FL
National Provider Identifier
1982170452
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5601 Issued in FL
Practice address
410 E Central Ave
Winter Haven, FL 33880-3050
Phone
(863) 293-0276
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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 5601 FL Primary

Addresses

Primary practice location

410 E Central Ave
Winter Haven, FL 33880-3050

Mailing address

1206 Spotted Lilac LN
Plant City, FL 33563-2510

Other practice location 1

3875 US Highway 301 S Ste 5
Riverview, FL 33578-3572
Phone (813) 246-3186

Other practice location 2

924 S Florida Ave
Lakeland, FL 33803-1116
Phone (863) 688-6197

Other practice location 3

407 N Plant Ave
Plant City, FL 33563-7247
Phone (813) 752-1344

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
I20190313000151 FL Practitioner - Optometry 8628318565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight and Sun Eyeworks LLCGroup PAC ID 0042362527, 27 clinicians

Practice addresses (Care Compare)

924 S Florida Ave
Lakeland, FL 33803-1116
Phone (863) 688-6197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Sight and Sun Eyeworks LLC Optometrist Past Accepting new patients
Kevin L. Henne O.D. Optometrist Past Accepting new patients

Locations

924 S Florida Ave
Lakeland, FL 33803
Phone (727) 789-8770

1308 W Nine Mile Rd
Ste 1112
Pensacola, FL 32534
Phone (850) 479-2020

407 N Plant Ave
Plant City, FL 33563
Phone (813) 752-1344

3875 US Highway 301 S
Ste 5
Riverview, FL 33578
Phone (813) 246-3186

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1982170452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SPOTTED LILAC LN",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-293-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 US Highway 301 S Ste 5",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335783572",
            "country_code": "US",
            "telephone_number": "813-246-3186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338031116",
            "country_code": "US",
            "telephone_number": "863-688-6197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 N Plant Ave",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335637247",
            "country_code": "US",
            "telephone_number": "813-752-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.