Stephen E Pascucci Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME88450 Issued in FL

Practice address

23451 Walden Center Drive
Bonita Springs, FL 34134-4919

Phone

(239) 949-2021

Fax

(239) 949-1500

NPI assigned

Jul 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: spascucci@eyeconsultantsbonita.direct.eyemdemr.com

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.

• Doctors Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1952323081
  NPD (past)
• The Retina & Macular Degeneration Center of SW Florida PLLC

  • Specialist
  • Naples, FL
  • NPI 1942555891
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1407875529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 WALDEN CENTER DRIVE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344919",
            "telephone_number": "239-949-2021",
            "fax_number": "239-949-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 WALDEN CENTER DRIVE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344919",
            "telephone_number": "239-949-2021",
            "fax_number": "239-949-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME88450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paladino, DPM
• Renee Palmer, LMHC
• Jyotin Pandit, MD
• John Michael Papandrea, ED.D.
• Angela Park, DO
• John Michael Pasicznyk, D.D.S
• Carly Pass, LCSW
• Saurabh N Patel, M.D.
• Pathfinder Performance & PT, LLC
• Patricia Tirone, LCSW, PLLC

• Ophthalmology Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.