Jola Rzegocki-O'Connor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2218 Issued in SC

Practice address

104 Buckwalter Pkwy Ste 1C
Bluffton, SC 29910-4129

Phone

(843) 757-9588

Fax

(843) 757-9589

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jola Rzegocki Former name

Medicare fee-for-service enrollment

Enrolled in CT, SC2 enrollments

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 2

Specialty

Optometry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Site of Bluffton LLCGroup PAC ID 9335147560, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eye Site of Bluffton LLC

  • Optometrist
  • Bluffton, SC
  • NPI 1902988173
  Medicare reassignment Care Compare group NPD
• Oculusdocs, LLC

  • Optometrist
  • Glastonbury, CT
  • NPI 1407490055
  Medicare reassignment
• Ridgeland Eye Associates LLC

  • Ophthalmology Physician
  • Ridgeland, SC
  • NPI 1518143221
  NPD (past)
• Eye Doctors Optometrists PLLC

  • Optometrist
  • Old Saybrook, CT
  • NPI 1770654584
  NPD (past)
• Greenwich Eye Center

  dba Diamond Vision

  • Ophthalmology Physician
  • Greenwich, CT
  • NPI 1346279007
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1669417325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BUCKWALTER PKWY STE 1C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104129",
            "telephone_number": "843-757-9588",
            "fax_number": "843-757-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BUCKWALTER PKWY STE 1C",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104129",
            "telephone_number": "843-757-9588",
            "fax_number": "843-757-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1156 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Old Saybrook",
            "state": "CT",
            "postal_code": "064754405",
            "country_code": "US",
            "telephone_number": "860-388-2020",
            "fax_number": "860-388-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RZEGOCKI-O'CONNOR",
        "first_name": "JOLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002623",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLA",
            "last_name": "RZEGOCKI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haleigh Dozier Rumsey
• Mallory Rushing, PT, DPT
• Megan Russo
• Brendon Patrick Ryan, DPT
• Kathleen Ryan
• Barbara June Sale, PT
• Raquel Reyes Salim, DMD
• Salt Marsh Healthcare, LLC
• Sam's East, Inc. (Sam's Club Pharmacy 10-6582)
• Jonathan Paul Samaha, PA-C

• Optometrist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.