George L. Vazoulas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2634 Issued in FL

Practice address

3921 SW College Rd
Ocala, FL 34474-5713

Phone

(352) 873-1000

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1205900040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745713",
            "telephone_number": "352-873-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745713",
            "telephone_number": "352-873-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZOULAS",
        "first_name": "GEORGE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BJ442Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07984400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandeepsinh Vashi
• Heidie L Vasko, PA-C
• Vasudevan Kidambi, MD, PA
• Anju Vasudevan, M. D.
• Ram Vasudevan, M. D.
• Shabriel Javier Vazquez Ocasio, MBBS, MD, CRC
• Lillian Ines Vazquez, RBT
• Luis Vazquez
• Jennifer Anne Veazey, APRN
• William David Veazey, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.

Verify at the official NPI Registry.