Individual provider Active NPI

Dennis Raney

  • Optometrist
  • Orlando, FL
National Provider Identifier
1003921974
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2250 Issued in FL
Practice address
4980 E Colonial Dr
Orlando, FL 32803-4376
Phone
(407) 895-6254
Fax
(407) 895-7319
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2250 FL Primary

Addresses

Primary practice location

4980 E Colonial Dr
Orlando, FL 32803-4376

Mailing address

4980 E Colonial Dr
Orlando, FL 32803-4376
Phone (407) 895-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000901 FL Practitioner - Optometry 9032168752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2004 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2004 Accepting new patients
Eye Doctors Optical Outlets Optometrist Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients

Locations

2391 S US Highway 27
Clermont, FL 34711
Phone (352) 988-2459

3922 S Suncoast Blvd
Homosassa Springs, FL 34448
Phone (352) 621-7528

1150 E Vine St
Kissimmee, FL 34744
Phone (407) 931-2012

10601 US Highway 441
Ste C8
Leesburg, FL 34788

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

12950 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (352) 361-5205

5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266

1700 Sand Lake Rd
Ste D120
Orlando, FL 32809

4980 E Colonial Dr
Orlando, FL 32803
Phone (407) 895-6254

1025 Oviedo Mall Blvd
Oviedo, FL 32765
Phone (407) 977-3100

1150 Malabar Rd SE
Ste 110
Palm Bay, FL 32907
Phone (321) 977-5158

10689 Big Bend Rd
Riverview, FL 33579
Phone (813) 699-1980

140 E 13th St
Saint Cloud, FL 34769
Phone (321) 766-7800

224 Towne Center Cir
Ste J7
Sanford, FL 32771

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471

723 3rd St SW
Winter Haven, FL 33880
Phone (863) 297-5067

6844 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 603-3479

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL PPO
  • FL HMO
  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO D-SNP

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003921974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034376",
            "telephone_number": "407-895-6254",
            "fax_number": "407-895-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034376",
            "telephone_number": "407-895-6254",
            "fax_number": "407-895-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEY",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.