Active NPI
Nicholaos G Rokanas, O.D.
- Optometrist
- Delray Beach, FL
National Provider Identifier
1104969161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3163
- Practice address
- 1715 S Federal Hwy
Delray Beach, FL 33483-3329 - Phone
- (561) 276-5099
- Fax
- (561) 274-9697
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3163 | FL | Primary |
| Optometrist | 152W00000X | TUV007654 | NY |
Addresses
Primary practice location
1715 S Federal Hwy
Delray Beach, FL 33483-3329
Mailing address
1715 S Federal Hwy
Delray Beach, FL 33483-3329
Phone (561) 276-5099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04057645 | Medicaid | NY | |
| 92040288561 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3163 | FL | MD | Optometrist |
| TUV007654 | NY | MD | Optometrist |
| 007654 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision Center P.a. | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Rego Park, NY
- NPI 1467836551
-
- Optometrist
- Greenacres, FL
- NPI 1336289529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1104969161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 S FEDERAL HWY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833329",
"telephone_number": "561-276-5099",
"fax_number": "561-274-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 S FEDERAL HWY",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833329",
"telephone_number": "561-276-5099",
"fax_number": "561-274-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKANAS",
"first_name": "NICHOLAOS",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3163",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04057645",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92040288561",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.