Individual provider Active NPI

Ashley Noegel, O.D.

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1194130286
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4914 Issued in FL
Practice address
124 Tuscan Way Ste 104
St Augustine, FL 32092-1851
Phone
(904) 547-2691
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4914 FL Primary

Addresses

Primary practice location

124 Tuscan Way Ste 104
St Augustine, FL 32092-1851

Mailing address

52 Tuscan Way Ste 202-103
St Augustine, FL 32092-1850
Phone (904) 547-2691

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
I20170320002341 FL Practitioner - Optometry 1951686641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joanne F. Reed, OD,PAGroup PAC ID 0648439406, 3 clinicians

Practice addresses (Care Compare)

124 Tuscan Way
Suite 104
St Augustine, FL 32092-1851
Phone (904) 547-2691

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4914FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne F. Reed, OD, PLLC Optometrist CurrentSince Jan 2, 2017 Accepting new patients

Locations

124 Tuscan Way
Ste 104
St Augustine, FL 32092
Phone (904) 547-2691

Organizations & group practices 1

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1194130286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TUSCAN WAY STE 202-103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921850",
            "telephone_number": "904-547-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TUSCAN WAY STE 104",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921851",
            "telephone_number": "904-547-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEGEL",
        "first_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.