Karen Ann Villagomez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4236 Issued in FL

Practice address

2905 N Military TRL Ste G
West Palm Beach, FL 33409-2921

Phone

(561) 684-5548

NPI assigned

Jul 31, 2007

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Karen Ann Puchalski Former 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Vision Services, Inc.

  dba South Florida Vision Centers

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566
  Medicare reassignment
• Specialty Vision Care LLC

  • Ophthalmologic Surgery Clinic/Center
  • Boynton Beach, FL
  • NPI 1326548942

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1255521613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 WEDGEWOOD VILLAGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637368",
            "telephone_number": "954-439-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N MILITARY TRL STE G",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092921",
            "telephone_number": "561-684-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGOMEZ",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621278600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PUCHALSKI",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nailen Vilches Hernandez
• Erika Villa Amador
• Elizabeth Villa
• John F Villa, MD
• Village Women's Healthcare
• Arnaldo Villalonga Martinez
• Leidys Villalonga, RBT
• Myriam Villard, RPH
• Jose S Villarreal, DO
• Yamila Villaurrutia

• Optometrist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.