Individual provider Active NPI

Charles Robert Putrino II, O.D.

  • Optometrist
  • University Park, FL
National Provider Identifier
1912108739
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1957 Issued in FL
Practice address
5409 University Pkwy
University Park, FL 34201-2012
Phone
(941) 351-9440
Fax
(941) 351-9446
NPI assigned
May 30, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1957 FL Primary

Addresses

Primary practice location

5409 University Pkwy
University Park, FL 34201-2012

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cputrino@centerforsight.intellechartdirect.net Center For Sight, PL

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
I20040407001480 FL Practitioner - Optometry 7315930971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight PLGroup PAC ID 1658340294, 35 clinicians

Practice addresses (Care Compare)

5409 University Pkwy
University Park, FL 34201-2012
Phone (941) 351-9440

Merit-based Incentive Payment System (MIPS)

Final score
94.3 of 100Reported as individual
Quality
89.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1957FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Optometrist CurrentSince Sep 1, 2014 Accepting new patients
Eye Centers of Florida Optometrist Past Accepting new patients

Locations

2601 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 277-9041

5409 University Pkwy
University Park, FL 34201
Phone (941) 351-9440

1360 E Venice Ave
Venice, FL 34285

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cputrino@useye.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, 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1912108739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 UNIVERSITY PKWY",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012012",
            "telephone_number": "941-351-9440",
            "fax_number": "941-351-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTRINO",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cputrino@centerforsight.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Center For Sight, PL",
            "address_1": "5409 University Pkwy",
            "city": "University Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342012012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

Verify at the official NPI Registry.