Rafael Angel Diaz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2170 Issued in FL

Practice address

1050 SE Monterey Rd
Ste 103
Stuart, FL 34994-4512

Phone

(772) 283-2020

Fax

(772) 220-9582

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rafael.diazod.p2@direct.drea.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Florida Vision Optique Inc

  • Optometrist
  • Stuart, FL
  • NPI 1023018355
  Medicare reassignment NPD
• Florida Vision Optique, Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Saint Lucie, FL
  • NPI 1265856702

  Optometrist

  NPD
• Florida Vision Institute Inc

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1083614366

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1720087737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "STE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-283-2020",
            "fax_number": "772-220-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "STE 103",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-283-2020",
            "fax_number": "772-220-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078796500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabela Diaz
• Janet Diaz
• Lia Diaz
• Madison Diaz
• Rachel Diaz
• Samantha Diaz, PA-C
• Mark Kenneth Dicarlo, PA
• Kiera Dicicco, CRNA
• Garrett Evans Dick, WSC
• Delmeshia Dickens

• Optometrist in Stuart, FL
• Providers in Stuart, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.