Active NPI
Raymond C. Overholser, O.D.
- Optometrist
- Ocala, FL
National Provider Identifier
1588725089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP2596
- Practice address
- 5353 SW College Rd
Ocala, FL 34474-5717 - Phone
- (352) 237-9451
- Fax
- (352) 237-9479
- NPI assigned
- Dec 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP2596 | FL | Primary |
Addresses
Primary practice location
5353 SW College Rd
Ocala, FL 34474-5717
Mailing address
5353 SW College Rd
Ocala, FL 34474-5717
Phone (352) 237-9451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20412 | Other | FL | BCBS OF FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP2596 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Optometrists of Overholser & Overholser OD PA | Optometrist | Current | Accepting new patients |
| Aeg Florida Professional PLLC | Optometrist | Past | Accepting new patients |
| Ocala Eye PA | Optometrist | Past | Accepting new patients |
Locations
5353 SW College Rd
Ocala, FL 34474
Phone (352) 237-9451
17961 S US Highway 441
Summerfield, FL 34491
Phone (352) 307-4435
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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
- Summerfield, FL
- NPI 1063573574
-
- Optometrist
- Jacksonville, FL
- NPI 1164156246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201996800000",
"number": "1588725089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 SW COLLEGE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344745717",
"telephone_number": "352-237-9451",
"fax_number": "352-237-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 SW COLLEGE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344745717",
"telephone_number": "352-237-9451",
"fax_number": "352-237-9479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERHOLSER",
"first_name": "RAYMOND",
"middle_name": "C.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP2596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "20412",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.