Individual provider Active NPI

Ronald E Monacelli, OD

  • Optometrist
  • Daytona Beach, FL
National Provider Identifier
1063416543
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5827 Issued in FL
Practice address
701 S Ridgewood Ave
Daytona Beach, FL 32114-5331
Phone
(386) 253-5999
Fax
(386) 258-3973
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5827 FL Primary

Addresses

Primary practice location

701 S Ridgewood Ave
Daytona Beach, FL 32114-5331

Mailing address

701 S Ridgewood Ave
Daytona Beach, FL 32114-5331
Phone (386) 253-5999

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
I20200722000207 FL Practitioner - Optometry 3173646171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Vision IncGroup PAC ID 3678649373, 4 clinicians

Practice addresses (Care Compare)

701 S Ridgewood Ave
Daytona Eye Center
Daytona Beach, FL 32114-5331
Phone (386) 253-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5827FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broome Vision Inc Optometrist CurrentSince May 11, 2025 Accepting new patients

Locations

701 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 253-5999

1474 W Granada Blvd
Ste 470
Ormond Beach, FL 32174
Phone (386) 253-5999

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1063416543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145331",
            "telephone_number": "386-253-5999",
            "fax_number": "386-258-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145331",
            "telephone_number": "386-253-5999",
            "fax_number": "386-258-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACELLI",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.