Individual provider Active NPI

Giovana M Balasquide, O.D.

  • Optometrist
  • Stuart, FL
National Provider Identifier
1033568084
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005233 Issued in FL
Practice address
1050 SE Monterey Rd Ste 104
Stuart, FL 34994-4512
Phone
(772) 283-2020
Fax
(772) 219-7924
NPI assigned
Jun 10, 2016
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005233 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd Ste 104
Stuart, FL 34994-4512

Mailing address

1050 SE Monterey Rd Ste 104
Stuart, FL 34994-4512
Phone (772) 283-2020

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
I20160726002395 FL Practitioner - Optometry 1254624471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Vision Institute IncGroup PAC ID 5698668093, 11 clinicians

Practice addresses (Care Compare)

1050 SE Monterey Rd
Stuart, FL 34994-4512
Phone (772) 283-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005233FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Vision Optique Inc Optometrist CurrentSince Aug 9, 2024 Accepting new patients
Florida Vision Institute Inc Optometrist CurrentSince Nov 15, 2018 Accepting new patients
Florida Vision Optique, Inc Optometrist CurrentSince Aug 9, 2024 Accepting new patients
Vitreo Retinal Consultants of the Palm Beaches PA Past Accepting new patients

Locations

600 University Blvd
Ste 100
Jupiter, FL 33458
Phone (561) 839-2780

11530 SW VLG Pkwy 103
Port Saint Lucie, FL 34987

11530 SW VLG Pkwy 103
103
Port St Lucie, FL 34987
Phone (772) 345-1500

1751 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 283-2020

1050 SE Monterey Rd
Ste 103
Stuart, FL 34994
Phone (772) 283-5020

1050 SE Monterey Rd
Ste 104
Stuart, FL 34994
Phone (772) 283-2020

1050 SE Monterey Rd
Ste 202
Stuart, FL 34994
Phone (772) 286-6336

1515 N Flagler Dr
Ste 500
West Palm Beach, FL 33401
Phone (561) 659-9700

Interoperability endpoints

  • Direct secure messaging: giovana.balasquide.p2@direct.drea.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1033568084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-283-2020",
            "fax_number": "772-219-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-283-2020",
            "fax_number": "772-219-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASQUIDE",
        "first_name": "GIOVANA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.