Individual provider Active NPI

Fernando Barja III, O.D.

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1730521840
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5283 Issued in FL
Practice address
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone
(855) 232-0644
Fax
(888) 546-0488
NPI assigned
Jul 18, 2013
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002832 PA
Optometrist 152W00000X OPC5283 FL Primary

Addresses

Primary practice location

6804 Cecelia Dr
New Port Richey, FL 34653-4935

Mailing address

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (552) 320-6448

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
I20170918001290 FL Practitioner - Optometry 6709150592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physician Services IncGroup PAC ID 4688685654, 39 clinicians

Practice addresses (Care Compare)

New Port Richey, FL 34653
Phone (727) 232-0644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5283FLMDOptometrist
OEG002832PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services Inc. Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 7, 2018 Accepting new patients
Paul E Fisher Jr OD PA Optometrist CurrentSince Jun 25, 2017 Accepting new patients
Paradise Eyes LLC Optometrist CurrentSince Jul 22, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4555 14th St W
Bradenton, FL 34207
Phone (941) 739-3067

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

9370 6 Mile Cypress Pkwy
Fort Myers, FL 33966
Phone (239) 895-0932

18100 NW 57th Ave
Ste 102
Hialeah, FL 33015
Phone (786) 746-9296

6804 Cecelia Dr
New Prt Rchy, FL 34653
Phone (727) 232-0644

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

10441 Stelling Dr
Riverview, FL 33578
Phone (813) 577-7872

6527 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 924-5745

5838 9th Ave N
St Petersburg, FL 33710
Phone (727) 347-8132

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

Interoperability endpoints

  • Direct secure messaging: fernando.barja.1@29651.direct.athenahealth.com

Organizations & group practices 6

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1730521840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DRIVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "552-320-6448",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARJA",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002832",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.