Vincent B Azzue, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2877 Issued in FL

Legal business name

VINCENT B AZZUE, O.D., P.A.

Practice address

8505 Little Rd
New Port Richey, FL 34654-4924

Phone

(727) 844-3223

Fax

(727) 844-3201

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Barth Azzue, O.D.NPI 1659466787

Title

Owner

Phone

(727) 844-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Barth Azzue, OD

  • Optometrist
  • New Port Richey, FL
  • NPI 1659466787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1285939728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544924",
            "telephone_number": "727-844-3223",
            "fax_number": "727-844-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544924",
            "telephone_number": "727-844-3223",
            "fax_number": "727-844-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT B AZZUE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "AZZUE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "BARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-844-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620149100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Nicole Vieira
• Daniela Villavicencio Diaz
• Vincent J Monticciolo
• Joy Davis Vincent
• Leanne M Vincent, MSPT
• Winay M Virkud, D.O.
• Virtual Health Group PLLC

• Optometrist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.