Individual provider Active NPI

Eric S Guglielmo, M.D.

  • Ophthalmology Physician
  • Silverdale, WA
National Provider Identifier
1093866840
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60136200 Issued in WA
Practice address
9800 Levin Rd NW Ste 203
Silverdale, WA 98383-7849
Phone
(206) 215-3850
Fax
(206) 215-3870
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD60136200 WA
Ophthalmology Physician 207W00000X MD60136200 WA Primary

Addresses

Primary practice location

9800 Levin Rd NW Ste 203
Silverdale, WA 98383-7849

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

Other practice location 1

280 N Sykes Creek Pkwy Ste B
Merritt Island, FL 32953-3491
Phone (321) 735-8800

Other practice location 2

601 Garry Oak Dr Ste D050
Sequim, WA 98382-3207
Phone (206) 215-3850

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213004510 FL Practitioner - Ophthalmology 5395897441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nevada School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Retina Specialists, P.a.Group PAC ID 1557581766, 4 clinicians

Practice addresses (Care Compare)

280 N Sykes Creek Pkwy
Suite B
Merritt Island, FL 32953-3491
Phone (321) 735-8800

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60136200WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Retina Specialists, P.a. Ophthalmology CurrentSince Feb 12, 2024 Accepting new patients
The Retina Surgery Center LLC PastSince Sep 5, 2023 Accepting new patients

Locations

2329 Medico Ln
Ste 103
Melbourne, FL 32940
Phone (321) 735-8800

280 N Sykes Creek Pkwy
Ste B
Merritt Island, FL 32953
Phone (305) 555-1212

Interoperability endpoints

  • Direct secure messaging: eguglielmo@frs.intellechartdirect.net
  • Direct secure messaging: eguglielmo71956@epicdirect.hf.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1093866840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW STE 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837849",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Sykes Creek Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533491",
            "country_code": "US",
            "telephone_number": "321-735-8800",
            "fax_number": "321-735-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Garry Oak Dr Ste D050",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823207",
            "country_code": "US",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGLIELMO",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD60136200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60136200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.