Organization Active NPI

Venice Eye Care Inc.

  • Optometrist
  • Venice, FL
National Provider Identifier
1710225438
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4087 Issued in FL
Legal business name
VENICE EYE CARE INC.
Practice address
4150 Tamiami TRL S
Venice, FL 34293-5130
Phone
(941) 497-5555
Fax
(941) 497-2369
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Amy Suzanne Ragozzino, O.D.NPI 1174578454
Title
President
Phone
(941) 497-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4087 FL Primary

Addresses

Primary practice location

4150 Tamiami TRL S
Venice, FL 34293-5130

Mailing address

11643 Dancing River Dr
Venice, FL 34292-4123
Phone (941) 497-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106002394 FL Part B Supplier - Clinic/Group Practice 8022328855 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1710225438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11643 DANCING RIVER DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924123",
            "telephone_number": "941-497-5555",
            "fax_number": "941-497-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935130",
            "telephone_number": "941-497-5555",
            "fax_number": "941-497-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "RAGOZZINO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-497-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.