Individual provider Active NPI

Margarita K Paterson, OD

  • Optometrist
  • Leesburg, FL
National Provider Identifier
1346235512
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4048 Issued in FL
Practice address
2501 Citrus Blvd
Leesburg, FL 34748-7204
Phone
(352) 326-3393
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4048 FL Primary

Addresses

Primary practice location

2501 Citrus Blvd
Leesburg, FL 34748-7204

Mailing address

2501 Citrus Blvd
Leesburg, FL 34748-7204
Phone (352) 326-3393

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060126000218 FL Practitioner - Optometry 7315951670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1590 Dunlawton Ave
Port Orange, FL 32127-4752
Phone (386) 756-4852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paterson Eye Care Inc Optometrist CurrentSince Mar 14, 2014 Accepting new patients

Locations

2501 Citrus Blvd
Leesburg, FL 34748
Phone (352) 326-3393

1590 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 756-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1346235512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CITRUS BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487204",
            "telephone_number": "352-326-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CITRUS BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487204",
            "telephone_number": "352-326-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "MARGARITA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.