Edna I. Berrocal Rodriguez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4888 Issued in FL

Practice address

4980 East Colonial Drive
Orlando, FL 32809-4376

Phone

(407) 895-6254

Fax

(407) 992-9365

NPI assigned

Nov 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Edna I Berrocal Other name

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1184815086
  NPD
• Eye Doctors Optical Outlets

  • Optometrist
  • Clermont, FL
  • NPI 1104197631
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1174800403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 EAST COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094376",
            "telephone_number": "407-895-6254",
            "fax_number": "407-992-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 EAST COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094376",
            "telephone_number": "407-895-6254",
            "fax_number": "407-992-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERROCAL RODRIGUEZ",
        "first_name": "EDNA",
        "middle_name": "I.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002529",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDNA",
            "last_name": "BERROCAL",
            "middle_name": "I",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christa Anamelia Berrios
• Erika Alexandra Berrios
• Rosa Maria Berrios, APRN
• Susan Berrios
• Ana Berrocal Diaz, MSN, APRN, FNP-C
• Delany M Berry, GENETIC COUNSELOR
• Donna Lynne Berry, LMHC
• Johnetha Berry
• Normile Berry
• Misty Berryhill, APRN, CPNP-AC

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.