Individual provider Active NPI

Vincent Passaro Jr., O.D.

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1750425948
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3549 Issued in FL
Practice address
6847 State Road 54
New Port Richey, FL 34653-6032
Phone
(727) 848-2020
Fax
(727) 847-3937
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3549 FL Primary

Addresses

Primary practice location

6847 State Road 54
New Port Richey, FL 34653-6032

Mailing address

8840 Keats Dr
Hudson, FL 34667-6599
Phone (727) 534-3726

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
I20050113000215 FL Practitioner - Optometry 7012966492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

39310 US Hwy 19 N
Tarpon Springs, FL 34689-3986
Phone (727) 756-1220

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Passaro Eyecare Inc Optometrist CurrentSince Sep 8, 2008 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince Nov 26, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 26, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients

Locations

13712 Little Rd
Hudson, FL 34667
Phone (727) 848-2020

6847 State Road 54
New Port Richey, FL 34653
Phone (727) 848-2020

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6244 Commercial Way
Weeki Wachee, FL 34613
Phone (352) 597-3205

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGBDA/Endpoint/JAGBDA

Organizations & group practices 4

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1750425948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 KEATS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676599",
            "telephone_number": "727-534-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536032",
            "telephone_number": "727-848-2020",
            "fax_number": "727-847-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARO",
        "first_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.