Active NPI
Patrick del Vecchio PA
- Optometrist
- Homestead, FL
National Provider Identifier
1063811099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4015
- Legal business name
- PATRICK DEL VECCHIO PA
- Practice address
- 28 N Homestead Blvd
Homestead, FL 33030-7416 - Phone
- (305) 247-2334
- Fax
- (305) 247-7101
- NPI assigned
- Aug 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick Del Vecchio, O.D.
- Title
- Owner
- Phone
- (305) 247-2334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4015 | FL | Primary |
Addresses
Primary practice location
28 N Homestead Blvd
Homestead, FL 33030-7416
Mailing address
28 N Homestead Blvd
Homestead, FL 33030-7416
Phone (305) 247-2334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621193300 | Medicaid | FL | |
| IE931A | Other | FL | MEDICARE |
| CX905Z | Other | FL | MEDICARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Homestead, FL
- NPI 1538158357
-
- Optometrist
- Homestead, FL
- NPI 1306511944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063811099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-247-2334",
"fax_number": "305-247-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N HOMESTEAD BLVD",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330307416",
"telephone_number": "305-247-2334",
"fax_number": "305-247-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK DEL VECCHIO PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DEL VECCHIO",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-247-2334",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621193300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IE931A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "CX905Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.