Individual provider Active NPI

Michael A Dagostino, OD

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1871595488
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3884 Issued in FL
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

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041011000350 FL Practitioner - Optometry 0648239020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of St Augustine PAGroup PAC ID 2668431040, 6 clinicians

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 100Reported as group
Quality
89.52
Improvement activities
40
Cost
55.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of St Augustine PA CurrentSince Aug 26, 2004 Accepting new patients
Ecsa Optical Company, LLC PastSince Apr 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.