Individual provider Active NPI

Richard E Guzak, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1942432158
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC004499 Issued in FL
Practice address
7682 Dr Phillips Blvd
Orlando, FL 32819-5152
Phone
(407) 351-3880
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004543 MI
Optometrist 152W00000X OPC004499 FL Primary

Addresses

Primary practice location

7682 Dr Phillips Blvd
Orlando, FL 32819-5152

Mailing address

7682 Dr Phillips Blvd
Orlando, FL 32819-5152
Phone (407) 351-3880

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
I20091201000594 FL Practitioner - Optometry 3476692682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Michigan State University College of Human Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Eye AssociatesGroup PAC ID 0840467601, 2 clinicians

Practice addresses (Care Compare)

7682 Dr Phillips Blvd
Suite a
Orlando, FL 32819-5152
Phone (407) 351-3880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC004499FLMDOptometrist
4901004543MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Eye Associates Optometrist CurrentSince Jan 1, 2015 Accepting new patients

Locations

7682 Dr Phillips Blvd
Ste A
Orlando, FL 32819
Phone (407) 351-3880

7682 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 351-3880

Organizations & group practices 1

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1942432158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-351-3880",
            "fax_number": "407-351-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-351-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZAK",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004543",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC004499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.