IndividualActive
Nicole Rosa, OD
NPI 1629831771 · Optometrist · Lakeland, FL
Provider details
- NPI number
- 1629831771
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 6414 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
3615 S Florida Ave Ste 460
Lakeland, FL 33803-4871
Phone: (863) 940-2091
Street-level locationGet directions
Mailing address
4907 Stonecrest Dr
Lakeland, FL 33813-2479
Additional practice locations (3)
- 11391 Causeway BlvdBrandon, FL 33511-2904Phone: (813) 413-3202
- 919 Lakeland Park Center Dr Unit 314Lakeland, FL 33809-3841Phone: (863) 859-6500
- 2014 E State Road 60Valrico, FL 33594-3605Phone: (813) 413-3207
Registry dates
- Enumerated
- 2024-02-01
- Last updated
- 2024-02-01
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.