Active NPI
Antonia Vassios
- Optometrist
- Port Richey, FL
National Provider Identifier
1508799883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6976
- Practice address
- 9644 Scenic Dr
Port Richey, FL 34668-4653 - Phone
- (727) 845-0082
- NPI assigned
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6976 | FL | Primary |
Addresses
Primary practice location
9644 Scenic Dr
Port Richey, FL 34668-4653
Mailing address
1623 Mountain Ash Way
New Port Richey, FL 34655-4145
Phone (727) 251-6442
Other names 1
- Antonia Stavrakis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6976 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1508799883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 MOUNTAIN ASH WAY",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346554145",
"telephone_number": "727-251-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9644 SCENIC DR",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684653",
"telephone_number": "727-845-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSIOS",
"first_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONIA",
"last_name": "STAVRAKIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.