Active NPI
Robert R. Mauger, O.D., P.a.
- Optometrist
- Altamonte Springs, FL
National Provider Identifier
1831469162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 1854
- Legal business name
- ROBERT R. MAUGER, O.D., P.A.
- Practice address
- 120 Pine Needle LN
Altamonte Springs, FL 32714-5814 - Phone
- (407) 340-9080
- NPI assigned
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert R. Mauger, O.D.
- Title
- President
- Phone
- (407) 340-9080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 1854 | FL | Primary |
Addresses
Primary practice location
120 Pine Needle LN
Altamonte Springs, FL 32714-5814
Mailing address
120 Pine Needle LN
Altamonte Springs, FL 32714-5814
Phone (407) 340-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078305600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
175 Villa Nueva Ave NE
Palm Bay, FL 32907
Phone (313) 574-2965
5405 Babcock St NE
#N
Palm Bay, FL 32905
Phone (321) 722-0660
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Altamonte Springs, FL
- NPI 1912027996
-
- Optometrist
- Altamonte Springs, FL
- NPI 1699820902
-
- Clinical Psychologist
- Sanford, FL
- NPI 1417272121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1831469162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PINE NEEDLE LN",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327145814",
"telephone_number": "407-340-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PINE NEEDLE LN",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327145814",
"telephone_number": "407-340-9080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT R. MAUGER, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "MAUGER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-340-9080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 1854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078305600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.