Individual provider Active NPI

Daniel Durante II, OD

  • Optometrist
  • Port Saint Lucie, FL
National Provider Identifier
1750972634
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5882 Issued in FL
Practice address
9168 S US Highway 1
Port Saint Lucie, FL 34952-3416
Phone
(772) 323-0078
Fax
(772) 303-2750
NPI assigned
Feb 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5882 FL Primary

Addresses

Primary practice location

9168 S US Highway 1
Port Saint Lucie, FL 34952-3416

Mailing address

9168 S US Highway 1
Port Saint Lucie, FL 34952-3416
Phone (772) 323-0078

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
I20210301000062 FL Practitioner - Optometry 7113332099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Docs on Wheels IncGroup PAC ID 5395230247, 3 clinicians

Practice addresses (Care Compare)

1457 SE Crosswood Way
Port Saint Lucie, FL 34984-2321
Phone (772) 485-6911

9168 S US Hwy 1
Choice Optics
Port Saint Lucie, FL 34952-3416
Phone (772) 323-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5882FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Durante Jr PLLC Optometrist CurrentSince Oct 11, 2024 Accepting new patients
Docs on Wheels Inc Optometrist CurrentSince Nov 11, 2025 Accepting new patients
Eye Docs on Wheels Inc Optometrist Past Accepting new patients

Locations

9168 S US Highway 1
Port Saint Lucie, FL 34952
Phone (772) 323-0078

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1750972634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9168 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523416",
            "telephone_number": "772-323-0078",
            "fax_number": "772-303-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9168 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523416",
            "telephone_number": "772-323-0078",
            "fax_number": "772-303-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE",
        "first_name": "DANIEL",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.