Individual provider Active NPI

Victoria Trieu Rawls

  • Optometrist
  • Belleview, FL
National Provider Identifier
1649609363
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4835 Issued in FL
Practice address
5215 SE Abshier Blvd
Belleview, FL 34420-3916
Phone
(352) 347-6008
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4835 FL Primary

Addresses

Primary practice location

5215 SE Abshier Blvd
Belleview, FL 34420-3916

Mailing address

5215 SE Abshier Blvd
Belleview, FL 34420-3916
Phone (352) 347-6008

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110001439 FL Practitioner - Optometry 1759503683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4835FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical FL PLLC Optometrist PastSince Oct 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1649609363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 SE ABSHIER BLVD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203916",
            "telephone_number": "352-347-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 SE ABSHIER BLVD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203916",
            "telephone_number": "352-347-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "VICTORIA",
        "middle_name": "TRIEU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

Verify at the official NPI Registry.