Dakota Rhea Lewis, OD
Optometrist in Brandon, FL. Individual provider (NPI-1).
NPI number1124597307
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1124597307
- Entity type
- Individual (NPI-1)
- Name
- Dakota Rhea Lewis
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2018
- Last updated
- Jun 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5607 | FL | Yes |
Practice location
883 E Bloomingdale AveBrandon, FL 33511-8113
Phone 813-661-1930
Mailing address
2907 Laurel Meadow CtPlant City, FL 33566-0386
Phone 813-895-9389
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All 56 Optometrist providers in Brandon · All 4,834 providers in Brandon
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