Individual provider Active NPI

William J Oktavec, MD

  • Ophthalmology Physician
  • St Augustine, FL
National Provider Identifier
1962448670
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0046211 Issued in FL
Practice address
100 Whetstone Place
#106
St Augustine, FL 32086
Phone
(904) 826-3937
Fax
(904) 826-3977
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0046211 FL Primary

Addresses

Primary practice location

100 Whetstone Place
#106
St Augustine, FL 32086

Mailing address

100 Whetstone Place
#106
St Augustine, FL 32086
Phone (904) 826-3937

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000024 FL Practitioner - Ophthalmology 7517970023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Oktavec MD PAGroup PAC ID 1153416359, 2 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 106
St Augustine, FL 32086-5775
Phone (904) 826-3937

Merit-based Incentive Payment System (MIPS)

Final score
88.52 of 100Reported as group
Quality
93.99
Improvement activities
40
Cost
69.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0046211FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Oktavec MD PA Ophthalmology CurrentSince May 7, 2007 Accepting new patients

Locations

100 Whetstone Pl
Ste 106
St Augustine, FL 32086
Phone (904) 826-3937

Interoperability endpoints

  • Direct secure messaging: woktavec743637@direct.shands.ufl.edu

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1962448670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PLACE",
            "address_2": "#106",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-826-3937",
            "fax_number": "904-826-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PLACE",
            "address_2": "#106",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-826-3937",
            "fax_number": "904-826-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKTAVEC",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0046211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.