Robert Orsillo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1684 Issued in FL

Practice address

1312 Manatee Ave E
Bradenton, FL 34208-1358

Phone

(941) 750-8797

Fax

(941) 750-8698

NPI assigned

Dec 12, 2006

Last updated

Aug 10, 2022By the provider in NPPES

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 3

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

85.3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  Medicare reassignment NPD
• Physical Medicine Specialists, Inc.

  dba Brooks Rehabilitation Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1952343261
  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1336209998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081358",
            "telephone_number": "941-750-8797",
            "fax_number": "941-750-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Ponce De Leon Blvd",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320846013",
            "country_code": "US",
            "telephone_number": "904-824-0212",
            "fax_number": "904-824-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORSILLO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019945400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NE589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19127",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Orloski, DPT
• Diana Orlow, MA
• Ariana Abigail Orozco-Rodriguez
• Jessica Orr, PT
• John W Orsborn, L.AC.
• Javier Orta, FNP
• Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Bradenton)
• Orthotic Prosthetic Center Inc
• Elizabeth Ortiz-Gonzalez
• Edsaida Ortiz-Santiago, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.