Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anisa Kristollari, OPTOMETRYDOCTOR

Individual provider Optometrist · NPI 1760762769

Dr. Anisa Kristollari, OPTOMETRYDOCTOR is an Optometry in Coconut Creek, Florida. Qualified in 2011, 15 years ago. Practices with Promenade Eye Care, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
15
Licensed in
FL, OH
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

4413 Lyons Rd Promenade Eye Care Ste 101 Next TO Lenscrafters Optique
Coconut Creek, FL 33073
Phone: (954) 975-9181
Fax: (954) 975-9597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 4633 (FL)
Optometrist Taxonomy 152W00000X · Licence 6051/T2966 (OH)

Record details

NPI number1760762769
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTOMETRYDOCTOR
Sole proprietorYes
NPI enumeratedAugust 22, 2011
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Promenade Eye Care, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coconut Creek