Individual provider Active NPI

Cynthia Stephenson Rodriguez, O.D.

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1609059161
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2557 Issued in FL
Practice address
451 E Altamonte Dr
Suite #1467
Altamonte Springs, FL 32701-4613
Phone
(407) 830-6546
Fax
(407) 830-9132
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2557 FL Primary

Addresses

Primary practice location

451 E Altamonte Dr
Suite #1467
Altamonte Springs, FL 32701-4613

Mailing address

141 Wisteria Dr
Longwood, FL 32779-4951
Phone (407) 682-2018

Other identifiers 1

IdentifierTypeStateIssuer
07887830MedicaidFL

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

LicenseStateTypeSpecialty
2557FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Perry, Perry & Associates, Orlando, P.a. Optometrist PastSince Jul 9, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1609059161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WISTERIA DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794951",
            "telephone_number": "407-682-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALTAMONTE DR",
            "address_2": "SUITE #1467",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014613",
            "telephone_number": "407-830-6546",
            "fax_number": "407-830-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CYNTHIA",
        "middle_name": "STEPHENSON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07887830",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.