Active NPI
Patrick St John Oconnor, MD
- Ophthalmology Physician
- Naples, FL
National Provider Identifier
1851391650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME128222
- Practice address
- 3880 Tamiami TRL N
Naples, FL 34103-3504 - Phone
- (239) 659-3937
- NPI assigned
- Jul 22, 2005
- Last updated
- Sep 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F-2377 | TX | |
| Ophthalmology Physician | 207W00000X | ME128222 | FL | Primary |
Addresses
Primary practice location
3880 Tamiami TRL N
Naples, FL 34103-3504
Mailing address
3880 Tamiami TRL N
Naples, FL 34103-3504
Phone (239) 659-3937
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126148907 | Medicaid | TX | |
| 742184907 | Other | TX | HUMANA |
| 742184907 | Other | TX | AETNA |
| 126148906 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-2377 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients | |
| Patrick S. O'Connor M.D.P.a. | Ophthalmology | Past | Accepting new patients |
| Alamo City Eye Physicians PA | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1477552693
-
dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
-
dba Alamo Physicians Optical
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1699899278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1851391650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033504",
"telephone_number": "239-659-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033504",
"telephone_number": "239-659-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCONNOR",
"first_name": "PATRICK",
"middle_name": "ST JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "F-2377",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME128222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126148907",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "742184907",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "742184907",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126148906",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.