Individual provider Active NPI

Victoria Ann Rogers, OD

  • Optometrist
  • Orlando, FL
National Provider Identifier
1760111710
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6085 Issued in FL
Practice address
720 Rugby St Ste 100
Orlando, FL 32804-4959
Phone
(407) 271-4455
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6085 FL Primary

Addresses

Primary practice location

720 Rugby St Ste 100
Orlando, FL 32804-4959

Mailing address

1150 Lake Shadow Cir Apt 3104
Maitland, FL 32751-7552

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
I20220803000454 FL Practitioner - Optometry 5991187262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primera Eye Care LLCGroup PAC ID 4789923574, 3 clinicians

Practice addresses (Care Compare)

800 Currency Cir
Unit 1010
Lake Mary, FL 32746-2184
Phone (407) 821-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6085FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primera Eye Care LLC Optometrist CurrentSince Aug 5, 2024 Accepting new patients

Locations

800 Currency Cir
Unit 1010
Lake Mary, FL 32746
Phone (407) 491-8330

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1760111710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LAKE SHADOW CIR APT 3104",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 RUGBY ST STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044959",
            "telephone_number": "407-271-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.