EYE DOCTORS OPTICAL OUTLETS PA
NPI 1043401938
Optometrist in Lake Wales, FL

Active since August 06, 2007
7 EAGLE RIDGE DR, LAKE WALES, FL 33859(863) 676-0911 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eye Doctors Optical Outlets Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE DOCTORS OPTICAL OUTLETS PA (NPI 1043401938) is a healthcare organization registered as an optometrist in Lake Wales, Florida and active in the NPI registry since August 2007. The organization lists Robert C. Coppola, President, as its authorized official.

NPPES Registry Identity

NPI1043401938
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE DOCTORS OPTICAL OUTLETS PA
Location Address7 EAGLE RIDGE DRLake Wales, FL 33859
Mailing Address5607 Johns RdTampa, FL 33634-4317 · (813) 885-3937
Organization SubpartNo
Authorized OfficialRobert C. CoppolaPresident · (954) 917-2337
Enumeration DateAugust 6, 2007
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1043401938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7 EAGLE RIDGE DR, Lake Wales, FL 33859

Other Identifiers 1

Medicaid620937809FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Doctors Optical Outlets Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

228

Medicare enrollment records show 228 clinicians reassign Medicare billing to Eye Doctors Optical Outlets PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Optometry224
Ophthalmology4

Nearest to this location (20)

See all 228
Optometry
NPI 1063576171
762 EAGLE RIDGE DR
Lake Wales, FL 33859
(863) 676-0911
✔ PECOS✔ Accepts Medicare5.7 mi
Optometry
NPI 1669660346
3055 CYPRESS GARDENS RD
Winter Haven, FL 33884
(863) 215-6620
✔ PECOS✔ Accepts Medicare9.3 mi
Optometry
NPI 1588728539
410 CITI CTR
Winter Haven, FL 33880
(863) 297-5067
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1508425679
570 AVENUE K SE
Winter Haven, FL 33880
(863) 401-4200
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1154739852
570 AVENUE K SE
Winter Haven, FL 33880
(863) 401-4200
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1043282387
250 AVENUE K SW SUITE 200
Winter Haven, FL 33880
(863) 297-5400
✔ PECOS11 mi
Optometry
NPI 1477211688
723 3RD ST SW
Winter Haven, FL 33880
(863) 297-5067
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1255999355
723 3RD ST SW
Winter Haven, FL 33880
(863) 297-5067
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1558466870
705 INGRAHAM AVE
Haines City, FL 33844
(866) 234-8534
✔ PECOS16 mi
Optometry
NPI 1366825176
1040 CYPRESS PKWY
Kissimmee, FL 34759
(407) 933-2088
✔ PECOS✔ Accepts Medicare22 mi
Optometry
NPI 1629200043
3654 HARDEN BLVD
Lakeland, FL 33803
(863) 644-7242
✔ PECOS✔ Accepts Medicare23 mi
Optometry
NPI 1023499035
1371 TOWN CENTER DR
Lakeland, FL 33803
(863) 413-0200
✔ PECOS✔ Accepts Medicare23 mi
Optometry
NPI 1972665883
1251 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-2260
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1437798832
2600 POSNER BLVD
Davenport, FL 33837
(863) 623-3155
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1386378370
4121 US HIGHWAY 98 N
Lakeland, FL 33809
(863) 859-7100
✔ PECOS✔ Accepts Medicare26 mi
Optometry
NPI 1558712158
2602 JAMES L REDMAN PKWY
Plant City, FL 33566
(813) 752-5838
✔ PECOS✔ Accepts Medicare30 mi
Optometry
NPI 1669411021
2128 JIM REDMAN PKWY
Plant City, FL 33563
(813) 752-3320
✔ PECOS31 mi
Optometry
NPI 1275765265
102 HENRY AVE
Plant City, FL 33563
(813) 704-6090
✔ PECOS31 mi
Optometry
NPI 1871612408
2855 N OLD LAKE WILSON ROAD LOCATED INSIDE WALMART 5214
Kissimmee, FL 34747
(407) 654-0181
✔ PECOS32 mi
Ophthalmology
NPI 1558458125
2271 TOWN CENTER AVE STE 101
Viera, FL 32940
(321) 632-8356
✔ PECOS61 mi
See all 228 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Doctors Optical Outlets PA's NPI number?

The NPI number for Eye Doctors Optical Outlets PA is 1043401938. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Eye Doctors Optical Outlets PA located?

Eye Doctors Optical Outlets PA is located at 7 Eagle Ridge Dr, Lake Wales, FL 33859. The listed phone number is (863) 676-0911.

What is Eye Doctors Optical Outlets PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eye Doctors Optical Outlets PA enrolled in Medicare?

Yes. Eye Doctors Optical Outlets PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Doctors Optical Outlets PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 228 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Doctors Optical Outlets PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (224) and Ophthalmology (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Doctors Optical Outlets PA accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Eye Doctors Optical Outlets PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Doctors Optical Outlets PA was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.