Individual provider Active NPI

James Eugenides, O.D.

  • Optometrist
  • Englewood, FL
National Provider Identifier
1699879866
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2233 Issued in FL
Practice address
1800 Placida Rd
Englewood, FL 34223-4912
Phone
(941) 475-7991
Fax
(941) 475-2066
NPI assigned
Sep 11, 2006
Last updated
Apr 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2233 FL Primary

Addresses

Primary practice location

1800 Placida Rd
Englewood, FL 34223-4912

Mailing address

1800 Placida Rd
Englewood, FL 34223-4912
Phone (941) 475-7991

Other identifiers 2

IdentifierTypeStateIssuer
410035849OtherFLMEDICARE RAILROAD
19112OtherFLBLUE CROSS BLUE SHIELD

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
I20100130000381 FL Practitioner - Optometry 9638126105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Eugenides OD PAGroup PAC ID 6204017924, 2 clinicians

Practice addresses (Care Compare)

1800 Placida Rd
Englewood, FL 34223-4912
Phone (941) 475-7991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2233FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James Eugenides OD PA Optometrist CurrentSince Jan 1, 2011 Accepting new patients
Schinderle Eugenides OD PA Optometrist Past Accepting new patients
Tad R Kosanovich OD PA PastSince Aug 7, 2010 Accepting new patients
Todd B Lang OD PA Optometrist PastSince Jan 1, 2001 Accepting new patients

Locations

1800 Placida Rd
Englewood, FL 34223
Phone (941) 475-7991

1800 Placida Rd
#K
Englewood, FL 34223
Phone (941) 475-7991

Interoperability endpoints

  • Direct secure messaging: jeugenides@kandkeyesod.eyefinity-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1699879866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PLACIDA RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234912",
            "telephone_number": "941-475-7991",
            "fax_number": "941-475-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PLACIDA RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234912",
            "telephone_number": "941-475-7991",
            "fax_number": "941-475-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENIDES",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410035849",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19112",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.