Individual provider Active NPI

Star Rostankovski, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1124481676
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5171 Issued in FL
Practice address
5100 N 9TH Ave Ste A101
Pensacola, FL 32504-8766
Phone
(850) 477-7646
Fax
(850) 476-9836
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5171 FL Primary

Addresses

Primary practice location

5100 N 9TH Ave Ste A101
Pensacola, FL 32504-8766

Mailing address

5100 N 9TH Ave Ste A101
Pensacola, FL 32504-8766
Phone (850) 477-7646

Other identifiers 1

IdentifierTypeStateIssuer
017114100MedicaidFL

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
I20160503002370 FL Practitioner - Optometry 4688973282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5100 N 9TH Ave
Suite J911B
Pensacola, FL 32504-8735
Phone (850) 477-7646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5171FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: starrostankovski@direct.eyecare-partners.com

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1124481676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 9TH AVE STE A101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048766",
            "telephone_number": "850-477-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 9TH AVE STE A101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048766",
            "telephone_number": "850-477-7646",
            "fax_number": "850-476-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTANKOVSKI",
        "first_name": "STAR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017114100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.