Individual provider Active NPI

Donna Marie Hilgendorf, OD OPTOMETRIST

  • Optometrist
  • Tavares, FL
National Provider Identifier
1205906575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2251 Issued in FL
Practice address
2519 Dora Ave
Tavares, FL 32778-4977
Phone
(352) 742-8008
Fax
(352) 742-8008
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2251 FL Primary

Addresses

Primary practice location

2519 Dora Ave
Tavares, FL 32778-4977

Mailing address

2519 Dora Ave
Tavares, FL 32778-4977
Phone (352) 742-8008

Other names 1

  • Donna Marie Rouinfar Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2251FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205906575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784977",
            "telephone_number": "352-742-8008",
            "fax_number": "352-742-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784977",
            "telephone_number": "352-742-8008",
            "fax_number": "352-742-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGENDORF",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ROUINFAR",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.