Active NPI
Rafael Agustin Borges, O.D.
- Optometrist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2978
- Practice address
- 12548 Lake Underhill Rd
Orlando, FL 32828-7115 - Phone
- (407) 273-0002
- Fax
- (407) 273-7911
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2978 | FL | Primary |
| Optometrist | 152W00000X | 2433 | MN |
Addresses
Primary practice location
12548 Lake Underhill Rd
Orlando, FL 32828-7115
Mailing address
12548 Lake Underhill Rd
Orlando, FL 32828-7115
Phone (407) 273-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Commerce Dr NW
Rochester, MN 55901-3246
Phone (507) 286-1874
7070 Tamarack Rd
Woodbury, MN 55125-1205
Phone (612) 540-5473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2978 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSP Eye Associates Inc | Optometrist | Current | Accepting new patients |
Locations
2020 Commerce Dr NW
Rochester, MN 55901
Phone (507) 286-1870
7070 Tamarack Rd
Woodbury, MN 55125
Phone (612) 540-5458
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.
-
- Optometrist
- Woodbury, MN
- NPI 1487981965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477638633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12548 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287115",
"telephone_number": "407-273-0002",
"fax_number": "407-273-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12548 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287115",
"telephone_number": "407-273-0002",
"fax_number": "407-273-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGES",
"first_name": "RAFAEL",
"middle_name": "AGUSTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "2978",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.