Active NPI
Remagin, LLC
- Ophthalmology Physician
- Windermere, FL
National Provider Identifier
1710299151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 106364
- Legal business name
- REMAGIN, LLC
- Practice address
- 4750 The Grove Dr
Suite 230
Windermere, FL 34786 - Phone
- (407) 704-3937
- Fax
- (407) 704-3920
- NPI assigned
- Jul 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepak Raja, MD
- Title
- Owner/MD
- Phone
- (407) 704-3937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 106364 | FL | Primary |
Addresses
Primary practice location
4750 The Grove Dr
Suite 230
Windermere, FL 34786
Mailing address
4750 The Grove Dr
Suite 230
Windermere, FL 34786
Phone (407) 704-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2037503 | Remagin LLC | Certificate of waiver | Feb 29, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1215143771
-
- Optometrist
- Windermere, FL
- NPI 1275946303
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Windermere, FL
- NPI 1790832673
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605744000000",
"number": "1710299151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 THE GROVE DR",
"address_2": "SUITE 230",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "34786",
"telephone_number": "407-704-3937",
"fax_number": "407-704-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 THE GROVE DR",
"address_2": "SUITE 230",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "34786",
"telephone_number": "407-704-3937",
"fax_number": "407-704-3920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMAGIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-13",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A",
"authorized_official_last_name": "RAJA",
"authorized_official_first_name": "DEEPAK",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "407-704-3937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "106364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.