Individual provider Active NPI

Christina Moustopoulos, OD

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1992304331
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5872 Issued in FL
Practice address
30715 US Highway 19 N
Palm Harbor, FL 34684-4400
Phone
(727) 785-8645
Fax
(727) 786-8258
NPI assigned
Oct 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC5872 FL Primary

Addresses

Primary practice location

30715 US Highway 19 N
Palm Harbor, FL 34684-4400

Mailing address

655 Brandon Town Center Mall
Brandon, FL 33511-4770
Phone (813) 681-1036

Other practice location 1

2143 Tyrone Blvd N
St Petersburg, FL 33710-4023
Phone (727) 345-3360

Other practice location 2

655 Brandon Town Center Mall
Brandon, FL 33511-4770
Phone (813) 681-1036

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
I20201030001122 FL Practitioner - Optometry 6305256496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linsey Parsons OD PAGroup PAC ID 8820166549, 3 clinicians

Practice addresses (Care Compare)

8936 US Hwy 19 N
Port Richey, FL 34668-5244
Phone (727) 844-3400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5872FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linsey Parsons OD PA Optometrist CurrentSince Mar 5, 2024 Accepting new patients
Gulf Coast Optometry, PA Single Specialty CurrentSince May 10, 2023 Accepting new patients
Parsons Eye Associates PA Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Cape Coral Eye Center, P.a. Optometrist Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

8936 US Highway 19
Port Richey, FL 34668
Phone (727) 844-3400

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

Organizations & group practices 5

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": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1992304331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRANDON TOWN CENTER MALL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114770",
            "telephone_number": "813-681-1036",
            "fax_number": "813-651-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844400",
            "telephone_number": "727-785-8645",
            "fax_number": "727-786-8258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2143 Tyrone Blvd N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337104023",
            "country_code": "US",
            "telephone_number": "727-345-3360",
            "fax_number": "727-347-3624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Brandon Town Center Mall",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114770",
            "country_code": "US",
            "telephone_number": "813-681-1036",
            "fax_number": "813-651-0964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSTOPOULOS",
        "first_name": "CHRISTINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.