Richard A Jablonski, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0S3838 Issued in FL

Practice address

1425 Hand Ave
Ste a
Ormond Beach, FL 32174-1135

Phone

(386) 673-3344

Fax

(386) 672-1854

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Qing Ge, M.D., PH.D.

  • Ophthalmology Physician
  • Port Orange, FL
  • NPI 1225053192
  Medicare reassignment
• Premier Eye Clinic

  • Ophthalmology Physician
  • Port Orange, FL
  • NPI 1265718894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1760474399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741135",
            "telephone_number": "386-673-3344",
            "fax_number": "386-672-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741135",
            "telephone_number": "386-673-3344",
            "fax_number": "386-672-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "0S3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038175600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ekaette D Isemin, BS.PHARM
• Enas G. Iskander, MD
• Rafat Shafik Iskander, PA
• Island Telespeech, LLC
• J.C. Home Care Inc (JC Home Medical)
• Patti Jean Jacke, M.A.
• Jackson Reef (Life Is Ketaful)
• Paul William Jackson, PHARMD
• Jacksonville Spine Center PA (Centurion Spine & Pain Centers)
• Kian Fay Jacobs, LCSW

• Ophthalmology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.