Individual provider Active NPI

Vincent Barth Azzue, OD

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1659466787
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2877 Issued in FL
Practice address
8505 Little Road
New Port Richey, FL 34654
Phone
(727) 844-3223
Fax
(727) 844-3201
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2877 FL Primary

Addresses

Primary practice location

8505 Little Road
New Port Richey, FL 34654

Mailing address

8505 Little Road
New Port Richey, FL 34654
Phone (727) 844-3223

Other identifiers 1

IdentifierTypeStateIssuer
620149100MedicaidFL

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
I20110127000432 FL Practitioner - Optometry 3173646361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8603 Easthaven CT
Suite 101
New Port Richey, FL 34655-5213
Phone (727) 844-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2877FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent B Azzue, O.D., P.a. Optometrist CurrentSince Jul 15, 2002 Accepting new patients
True Focus Eye Care PA Optometrist PastSince Sep 11, 2001 Accepting new patients

Locations

8603 Easthaven Ct
Ste 101
New Prt Rchy, FL 34655
Phone (727) 844-3223

8505 Little Rd
New Prt Rchy, FL 34654
Phone (727) 844-3223

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1659466787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-844-3223",
            "fax_number": "727-844-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-844-3223",
            "fax_number": "727-844-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZUE",
        "first_name": "VINCENT",
        "middle_name": "BARTH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620149100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.