Individual provider Active NPI

Claudia L Chavez, O.D.

  • Optometrist
  • Hernando, FL
National Provider Identifier
1881655645
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3787 Issued in FL
Practice address
2629 N Forest Ridge Blvd
Hernando, FL 34442-5123
Phone
(352) 527-2775
NPI assigned
Mar 31, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0742 NH
Optometrist 152W00000X OPC3787 FL Primary

Addresses

Primary practice location

2629 N Forest Ridge Blvd
Hernando, FL 34442-5123

Mailing address

2312 Hannah Way S
Dunedin, FL 34698-9453
Phone (727) 641-7485

Other practice location 1

33279 US Highway 19 N
Palm Harbor, FL 34684-3153
Phone (727) 789-5428

Other identifiers 4

IdentifierTypeStateIssuer
68155OtherFLBCBS-FLORIDA PROVIDER ID
620979300MedicaidFL
3759970OtherFLCIGNA PROVIDER ID
7052609OtherFLAETNA PROVIDER ID

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
I20040728000262 FL Practitioner - Optometry 1153391156 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0742NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel J Teske OD PA Optometrist CurrentSince Jun 1, 2021 Accepting new patients
West Florida Ophthalmology Inc CurrentSince Nov 5, 2012 Accepting new patients
Eyesight Ophthalmic Services PLLC Optometrist PastSince Jan 26, 2025 Accepting new patients
True Eye Experts West Palm LLC Optometrist PastSince Sep 12, 2021 Accepting new patients

Locations

707 N Citrus Ave
Ste D
Crystal River, FL 34428
Phone (352) 795-2020

3155 Curlew Rd
Oldsmar, FL 34677
Phone (727) 216-2020

19070 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 632-2020

2740 Seven Springs Blvd
Trinity, FL 34655
Phone (727) 372-0414

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881655645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 HANNAH WAY S",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989453",
            "telephone_number": "727-641-7485",
            "fax_number": "727-771-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 N FOREST RIDGE BLVD",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344425123",
            "telephone_number": "352-527-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33279 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843153",
            "country_code": "US",
            "telephone_number": "727-789-5428",
            "fax_number": "727-789-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CLAUDIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0742",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FLORIDA PROVIDER ID",
            "identifier": "68155",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620979300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "3759970",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7052609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, FL

Sources for this page

Verify at the official NPI Registry.