Individual provider Active NPI

Carl Ritch, OD

  • Optometrist
  • Saint Cloud, FL
National Provider Identifier
1922622356
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5818 Issued in FL
Practice address
4068 13TH St
Saint Cloud, FL 34769
Phone
(407) 892-0063
Fax
(407) 846-7658
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5818 FL Primary

Addresses

Primary practice location

4068 13TH St
Saint Cloud, FL 34769

Mailing address

4068 13TH St
Saint Cloud, FL 34769-6775
Phone (407) 892-0063

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
I20200611001477 FL Practitioner - Optometry 6204257694 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eyecare East Coast LLCGroup PAC ID 8820437460, 2 clinicians
Insight Eyecare and Optical, LLCGroup PAC ID 7416365978, 3 clinicians

Practice addresses (Care Compare)

2000 S Patrick Dr
Suite 7
Indian Harbour Beach, FL 32937-4462
Phone (321) 777-1800

4068 13TH St
Saint Cloud, FL 34769-6775
Phone (407) 892-0063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5818FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eyecare East Coast LLC Optometrist CurrentSince Mar 9, 2024 Accepting new patients
Dr.Ted Brink & Associates Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Dr. Ted Brink and Associates PA Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Insight Eyecare and Optical, LLC Optometrist CurrentSince Mar 29, 2021 Accepting new patients
Michael Schlofman O.D P.L.L.C. Optometrist CurrentSince Jun 2, 2020 Accepting new patients
Leonard Schlofman OD. PA. Optometrist Past Accepting new patients

Locations

6419 W Newberry Rd
Ste K22
Gainesville, FL 32605
Phone (352) 332-0744

2000 South Patrick Dr
Ste 7
Indian Harbour Beach, FL 32937
Phone (321) 777-1800

10300 Southside Blvd
Ste 238
Jacksonville, FL 32256
Phone (904) 363-8282

4068 13th St
Saint Cloud, FL 34769
Phone (407) 892-0063

Organizations & group practices 6

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1922622356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696775",
            "telephone_number": "407-892-0063",
            "fax_number": "407-846-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-892-0063",
            "fax_number": "407-846-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCH",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.