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

Jacob Mittelstaedt, OD

Individual provider Optometrist · NPI 1861062176

Jacob Mittelstaedt, OD is an Optometry in Haines City, Florida. Graduated from New England College of Optometry in 2021, 5 years ago. Practices with Sevigny and Associates Eye Care, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
5
Trained at
New England College of Optometry
Licensed in
CO, FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

119 Patterson Rd
Haines City, FL 33844-7803
Phone: (863) 421-2700
Fax: (863) 421-7629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6190 (FL)
Optometrist Taxonomy 152W00000X · Licence 0003685 (CO)

Record details

NPI number1861062176
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Sevigny And Associates Eye Care, Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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