Active NPI
Edwin Norton Anguas, O.D., P.A.
- Optometrist
- Orange Park, FL
National Provider Identifier
1316968233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC000907
- Practice address
- 28 Blanding Blvd
Orange Park, FL 32073-2202 - Phone
- (904) 264-5483
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC000907 | FL | Primary |
Addresses
Primary practice location
28 Blanding Blvd
Orange Park, FL 32073-2202
Mailing address
28 Blanding Blvd
Orange Park, FL 32073-2202
Phone (904) 264-5483
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC000907 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr. Optometry of Florida, LLC | Optometrist | Past | Accepting new patients |
| Edwin N. Anguas, OD, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Orange Park, FL
- NPI 1346695814
-
- Optometrist
- Middleburg, FL
- NPI 1356796635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1316968233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732202",
"telephone_number": "904-264-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732202",
"telephone_number": "904-264-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGUAS",
"first_name": "EDWIN",
"middle_name": "NORTON",
"name_prefix": "Dr.",
"credential": "O.D., P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC000907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Anesthesia Dynamics LLC
- Anesthesia Physician Solutions of Florida, LLC
- Angel Hands Companion Services
- Dauthie Angilot
- Janet Allison Anguas-Keiter, PSY.D.
- Ankle and Foot Associates, LLC
- Ankle Foot and Leg Centers Inc.
- Anna-Marie Veneracion-Yumul, MD, PA
- Shawn Michael Anthony
- Antoinette N. Koe M.D, P.a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.