Active NPI
Michael A Dagostino, OD
- Optometrist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3884
- Practice address
- 1400 US Highway 1 S
St Augustine, FL 32084-4211 - Phone
- (904) 829-2286
- Fax
- (904) 810-5687
- NPI assigned
- Aug 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3884 | FL | Primary |
Addresses
Primary practice location
1400 US Highway 1 S
St Augustine, FL 32084-4211
Mailing address
1400 US Highway 1 S
St Augustine, FL 32084-4211
Phone (904) 829-2286
Other practice location 1
800 Zeagler Dr Ste 120
Palatka, FL 32177-3827
Phone (904) 829-2286
Other practice location 2
319 W Town Pl Ste 8
St Augustine, FL 32092-3102
Phone (904) 940-9200
Other practice location 3
10 Florida Park Dr Ste A
Palm Coast, FL 32137-3893
Phone (904) 829-2286
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 US Hwy 1 S
St Augustine, FL 32084-4211
Phone (904) 829-2286
800 Zeagler Dr
Suite 120
Palatka, FL 32177-3827
Phone (904) 940-9200
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 89.52
- Improvement activities
- 40
- Cost
- 55.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center of St Augustine PA | Current | Accepting new patients | |
| Ecsa Optical Company, LLC | Past | Accepting new patients |
Locations
800 Zeagler Dr
Ste 120
Palatka, FL 32177
Phone (386) 328-8369
10 Florida Park Dr N
Ste A
Palm Coast, FL 32137
Phone (386) 445-1279
1400 US Highway 1 S
Saint Augustine, FL 32084
Phone (904) 829-2286
319 W Town Pl
Ste 8
St Augustine, FL 32092
Phone (904) 940-9200
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Interoperability endpoints
- mdagostino@especsa.intellechartdirect.net
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.
-
- Specialist
- St Augustine, FL
- NPI 1275535726
-
- Durable Medical Equipment & Medical Supplies
- Palm Coast, FL
- NPI 1114779030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1871595488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320844211",
"telephone_number": "904-829-2286",
"fax_number": "904-810-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320844211",
"telephone_number": "904-829-2286",
"fax_number": "904-810-5687"
}
],
"practiceLocations": [
{
"address_1": "800 Zeagler Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321773827",
"country_code": "US",
"telephone_number": "904-829-2286",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 W Town Pl Ste 8",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320923102",
"country_code": "US",
"telephone_number": "904-940-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Florida Park Dr Ste A",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321373893",
"country_code": "US",
"telephone_number": "904-829-2286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAGOSTINO",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.