Active NPI
Dennis Garczynski, O.D.
- Optometrist
- Tampa, FL
National Provider Identifier
1942376793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2178
- Practice address
- 3604 Madaca LN
Tampa, FL 33618-2057 - Phone
- (813) 962-1006
- Fax
- (813) 269-0600
- NPI assigned
- Nov 24, 2006
- 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 | OPC2178 | FL | Primary |
Addresses
Primary practice location
3604 Madaca LN
Tampa, FL 33618-2057
Mailing address
3604 Madaca LN
Tampa, FL 33618-2057
Phone (813) 962-1006
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100503000383 | FL | Practitioner - Optometry | 3678601291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1942376793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "813-962-1006",
"fax_number": "813-269-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "813-962-1006",
"fax_number": "813-269-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCZYNSKI",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.