Individual provider Active NPI

Alvaro Patino Jr., O.D.

  • Optometrist
  • Kissimmee, FL
National Provider Identifier
1750357380
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3608 Issued in FL
Practice address
2225 N Central Ave
Kissimmee, FL 34741-2342
Phone
(407) 834-7776
Fax
(407) 834-0973
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3608 FL Primary

Addresses

Primary practice location

2225 N Central Ave
Kissimmee, FL 34741-2342

Mailing address

160 Boston Ave
Altamonte Springs, FL 32701-4798
Phone (407) 775-7654

Other identifiers 1

IdentifierTypeStateIssuer
620695600MedicaidFL

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
I20040804000450 FL Practitioner - Optometry 5799756789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye Clinic P aGroup PAC ID 6406758846, 25 clinicians

Practice addresses (Care Compare)

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 834-7776

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
98.94
Promoting interoperability
100
Improvement activities
40
Cost
38.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3608FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic P a Optometrist CurrentSince Feb 21, 2023 Accepting new patients
Florida Eye Clinic P a Optometrist Past Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

2225 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-2908

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332

7975 Lake Underhill Rd
Ste 140
Orlando, FL 32822
Phone (407) 281-0866

345 W Michigan St
Ste 118
Orlando, FL 32806
Phone (407) 896-0324

7512 Dr Phillips Blvd
Ste 70
Orlando, FL 32819
Phone (407) 352-8968

2917 Edgewater Dr
Orlando, FL 32804
Phone (321) 423-2030

1089 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (850) 626-1300

2875 Maguire Rd
Windermere, FL 34786
Phone (407) 299-8300

5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1750357380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014798",
            "telephone_number": "407-775-7654",
            "fax_number": "407-834-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412342",
            "telephone_number": "407-834-7776",
            "fax_number": "407-834-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "ALVARO",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620695600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.