Stefania Maria Paniccia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008061 Issued in NY

Practice address

500 Carretera John Will Harris
Iaupr School of Optometry
Bayamon, PR 00957

Phone

(787) 765-1915

NPI assigned

Aug 12, 2013

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sajid Malik, MD PCGroup PAC ID 6103955265, 9 clinicians

Practice addresses (Care Compare)

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.

• Sajid Malik MD PC

  dba Malik Eye Care

  • Ophthalmology Physician
  • Hicksville, NY
  • NPI 1215161047

  Optometrist

  Medicare reassignment Care Compare group NPD
• Instituto de Ojos Y Piel, Inc

  • Ambulatory Surgical Clinic/Center
  • Carolina, PR
  • NPI 1023052685
  NPD (past)
• Sajid Malik MD PC

  dba Malik Eye Care

  • Ophthalmology Physician
  • Hollis, NY
  • NPI 1598025157

  Optometrist

  NPD (past)
• Woodbury Optical Studio, Inc.

  • Eyewear Supplier
  • Hicksville, NY
  • NPI 1699824169
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1437582665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CARR. JOHN WILL HARRIS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-765-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARRETERA JOHN WILL HARRIS",
            "address_2": "IAUPR SCHOOL OF OPTOMETRY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-765-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICCIA",
        "first_name": "STEFANIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Pagan
• Richard Pagan
• Vionnette Elaine Pagan, PSYD
• Natasha Geraldine Pamias, PHARM D
• Jose Ramon Pando, PH.D.
• Omar Pantaleon
• Patrizia Paolozzi, PSYCHOLOGIST
• Luis A Pares-Martinez, M.D.
• Parler Therapy LLC
• Parliamo Sobre Ruedas

• Optometrist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.