Optometrica O D P a
NPI 1174879563 · Optometrist · Sanibel, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optometrica O D P a is a Optometrist organization in Sanibel, FL (NPI 1174879563).
Provider details
- NPI number
- 1174879563
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Phong Pham, President / Owner(239) 560-6917
- License
- OPC3502 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2012-10-01
Frequently asked questions
- What is Optometrica O D P a's NPI number?
- Optometrica O D P a's National Provider Identifier (NPI) is 1174879563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optometrica O D P a?
- Optometrica O D P a is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Optometrica O D P a located?
- Optometrica O D P a's practice location on file with NPPES is 1571 Periwinkle Way, Sanibel, FL 33957-4513.
- What is Optometrica O D P a's phone number?
- The practice phone number listed in the NPPES registry for Optometrica O D P a is (239) 560-6917.
- Does Optometrica O D P a accept Medicare?
- Optometrica O D P a is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optometrica O D P a?
- The authorized official listed on Optometrica O D P a's NPPES record is Phong Pham, President / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optometrica O D P a's NPI active?
- Yes — Optometrica O D P a's NPI (1174879563) is active in the NPPES registry as of the last update on 2012-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.