Estuardo Alfonso Ponce, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

121538 Issued in FL

Practice address

43309 US Highway 19 N
Tarpon Springs, FL 34689

Phone

(727) 938-2020

Fax

(727) 943-3334

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: estuardo.poncemd.p1@direct.stlukeseye.nextgenshare.com

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.

• St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
  • NPI 1154316628
  Medicare reassignment Care Compare group NPD
• Alexander Rabinovich Medical PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1962735589
  NPD (past)
• Icahn School of Medicine at Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  NPD (past)
• The New York Eye & Ear Infirmary Ophthalmology Associates, P.C.

  • Specialist
  • New York, NY
  • NPI 1811931041
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1023213071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-943-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-938-2020",
            "fax_number": "727-943-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ESTUARDO",
        "middle_name": "ALFONSO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "121538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1023213071",
            "identifier": "ME 121538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Peterson, RN, LMT
• Brian Allister Phillpotts, M.D.
• Julian Thomas Pierce, M.D.
• Olivia Amanda Pierog, MD
• Gina Polly
• Alicia Angelle Porter
• Megan Posey, AU.D.
• Precision Optical PA
• Jeffery Allen Prosser, M.D.
• Publix Super Markets Inc

• Ophthalmology Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.