Individual provider Active NPI

Kristine Verkaik, O.D.

  • Optometrist
  • Eustis, FL
National Provider Identifier
1700814357
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3523 Issued in FL
Practice address
2303 S Bay St
Eustis, FL 32726-6360
Phone
(352) 357-1027
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3523 FL Primary

Addresses

Primary practice location

2303 S Bay St
Eustis, FL 32726-6360

Mailing address

2303 S Bay St
Eustis, FL 32726-6360

Other identifiers 1

IdentifierTypeStateIssuer
620541100MedicaidFL

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
I20101022000838 FL Practitioner - Optometry 3678780194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Eye Center, PAGroup PAC ID 2769699289, 3 clinicians

Practice addresses (Care Compare)

2303 S Bay St
Eustis, FL 32726-6360
Phone (357) 357-1027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Eye Center, PA Optometrist CurrentSince Jan 1, 2001 Accepting new patients

Locations

2303 S Bay St
Eustis, FL 32726
Phone (352) 357-1027

Interoperability endpoints

  • Direct secure messaging: drverkaik@centralfloridaeyecenter.eyefinity-direct.com

Organizations & group practices 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1700814357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360",
            "telephone_number": "352-357-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKAIK",
        "first_name": "KRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620541100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.