Dr Anisa Kristollari, OPTOMETRY DOCTOR in Coconut Creek, FL

Dr Anisa Kristollari, OPTOMETRY DOCTOR is a medicare enrolled "Optometrist" provider in Coconut Creek, Florida. Her current practice location is 4413 Lyons Rd. Promenade Eye Care, Ste 101 Next To Lenscrafters Optique, Coconut Creek, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 975-9181.

Dr Anisa Kristollari is licensed to practice in Florida (license number OPC 4633) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760762769.

Contact Information

	Dr Anisa Kristollari, OPTOMETRY DOCTOR
	4413 Lyons Rd. Promenade Eye Care, Ste 101 Next To Lenscrafters Optique, Coconut Creek, FL 33073
	(954) 975-9181
	(954) 975-9597

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anisa Kristollari
Gender	Female
Speciality	Optometrist
Location	4413 Lyons Rd. Promenade Eye Care, Coconut Creek, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760762769
Provider Enumeration Date: 08/22/2011
Last Update Date: 07/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5799943262
Enrollment ID: I20120301000306

Medical Identifiers

Medical identifiers for Dr Anisa Kristollari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760762769	NPI	-	NPPES
OPC 4633	Other	FL	FLORIDA OPTOMETRY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	6051/T2966 (Ohio)	Secondary
152W00000X	Optometrist	OPC 4633 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Anisa Kristollari allows following entities to bill medicare on her behalf.

Provider Name	Promenade Eye Care, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225457716 PECOS PAC ID: 0143747329 Enrollment ID: O20250512000349

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Anisa Kristollari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Anisa Kristollari, OPTOMETRY DOCTOR 4413 Lyons Rd. Promenade Eye Care, Ste 101 Next To Lenscrafters Optique, Coconut Creek, FL 33073 Ph: (954) 975-9181	Dr Anisa Kristollari, OPTOMETRY DOCTOR 4413 Lyons Rd. Promenade Eye Care, Ste 101 Next To Lenscrafters Optique, Coconut Creek, FL 33073 Ph: (954) 975-9181

Reviews and Comments

Optometrist in Coconut Creek, FL

Dr. Murad Zayed O.d. Optometrist Medicare: Medicare Enrolled Practice Location: 4851 W Hillsboro Blvd Ste A6, Coconut Creek, FL 33073 Phone: 954-427-1449 Fax: 954-406-6886
Andrew Steven Cass, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1502 Cayman Way, C4, Coconut Creek, FL 33066 Phone: 954-234-4453 Fax: 954-978-0664
Dr Ian Field Optometrist Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5571 W Hillsboro Blvd, Walmart Vision Center, Coconut Creek, FL 33073 Phone: 954-574-6735
Promenade Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4413 Lyons Rd, Suite 101 Doctors Of Optometry Next To Lenscrafters, Coconut Creek, FL 33073 Phone: 954-975-9181 Fax: 954-975-9597
Mitchell J Marder P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-970-4266
Dr. Mitchell J Marder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-970-4266 Fax: 954-975-0416
Dr. Trisha A Sagmiller Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4413 Lyons Rd, Suite 101, Coconut Creek, FL 33073 Phone: 954-975-9181 Fax: 954-975-9597

Dr Anisa Kristollari, OPTOMETRY DOCTOR - Medicare Optometrist in Coconut Creek, FL