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

Nicole Agnes Rosa, OD

Individual provider Optometrist · NPI 1629831771

Nicole Agnes Rosa, OD is an Optometrist in Lakeland, Florida. Works from 4 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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

3615 S Florida Ave Ste 460
Lakeland, FL 33803-4871
Phone: (863) 940-2091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 11391 Causeway Blvd, Brandon, FL 33511-2904 — (813) 413-3202
  • 919 Lakeland Park Center Dr Unit 314, Lakeland, FL 33809-3841 — (863) 859-6500
  • 2014 E State Road 60, Valrico, FL 33594-3605 — (813) 413-3207

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6414 (FL)

Record details

NPI number1629831771
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateJanuary 31, 2024
Mailing address4907 Stonecrest Dr, Lakeland, FL 33813-2479

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