Dax Vasiliou, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5025 Issued in FL

Practice address

6300 N Wickham Rd
Melbourne, FL 32940-2028

Phone

(321) 751-7270

NPI assigned

Oct 19, 2011

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1609151752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320630",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329320630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402028",
            "telephone_number": "321-751-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILIOU",
        "first_name": "DAX",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prem K Varma, MD
• David Varnagy, MD
• Donna Marie Vary, LMHC
• Laura Vasallo, A.P., L.M.T.
• Julie Vasiliadis
• Elizabeth C Vasser, M.D.
• Muraiha Rose Vaughn, CPM, LM
• William Shane Vaughn, D.M.D.
• Rayna A Vause, PA-C
• Sabrina Vazquez Campos

• Optometrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.