John Joseph Mertzlufft, O.D.
Individual provider Active NPI Optometrist · Tampa, FL
NPI 1992985774 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1992985774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2610 (FL)
- Practice address
- 12311 W Linebaugh Ave
Tampa, FL 33626-2651 - Phone
- (813) 814-2020
- Fax
- (813) 814-9944
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Florida, LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070912000826 | FL | Practitioner - Optometry | 3274626858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2610 | FL | MD | Optometrist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Florida, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current |
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
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
3040 W Bearss Ave
Tampa, FL 33618
Phone (813) 264-2020
12311 W Linebaugh Ave
Westchase, FL 33626
Phone (813) 814-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2610 | FL | Yes |
Addresses
Primary practice location
12311 W Linebaugh Ave
Tampa, FL 33626-2651
Mailing address
12311 W Linebaugh Ave
Tampa, FL 33626-2651
Phone (813) 814-2020
Other practice location 1
12037 Whitmarsh Ln
Suite 101
Tampa, FL 33626-1737
Phone (813) 814-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8138142020 | Other | FL | VSP |
| 24794 | Other | FL | SPECTERA |
| 620845200 | Medicaid | FL | |
| 940754 | Other | FL | EYEMED |
| 56106 | Other | FL | DAVIS VISION |
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.