Stefano Ragozzino, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3940 Issued in FL

Practice address

17000 Tamiami TRL
Vision Center
North Port, FL 34287-7281

Phone

(941) 429-1430

Fax

(941) 423-8952

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1851330930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877281",
            "telephone_number": "941-525-4771",
            "fax_number": "941-497-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 TAMIAMI TRL",
            "address_2": "VISION CENTER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877281",
            "telephone_number": "941-429-1430",
            "fax_number": "941-423-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOZZINO",
        "first_name": "STEFANO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3940",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621195000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angelina Teresa Pullen, AP
• Amanda Quintana
• Ana Quintana
• Michael B Raimondi, PTA
• Brandi S Rains, PHARMD
• Jay M Raja, MD
• Angelina Ramirez, MSW
• Francisco V Ramirez III, PT

• Optometrist in North Port, FL
• Providers in North Port, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.