Individual provider Active NPI

Rene S Rodriguez-Sains, M.D.

  • Ophthalmology Physician
  • Mount Dora, FL
National Provider Identifier
1962514992
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME147023 Issued in FL
Practice address
17560 US Highway 441
Mid-Florida Eye Center
Mount Dora, FL 32757-6711
Phone
(352) 735-2020
Fax
(352) 735-3233
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 ME147023 FL Primary

Addresses

Primary practice location

17560 US Highway 441
Mid-Florida Eye Center
Mount Dora, FL 32757-6711

Mailing address

17560 US Highway 441
Mid-Florida Eye Center
Mount Dora, FL 32757-6711
Phone (352) 735-2020

Other identifiers 1

IdentifierTypeStateIssuer
388582401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040819000337 NY Practitioner - Ophthalmology 7113990821 Practice locations: Staten Island, NY
I20181003001297 TX Practitioner - Ophthalmology 7113990821 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147023FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Eye PA CurrentSince Sep 17, 2018 Accepting new patients
West Texas Eye PA Ophthalmology CurrentSince Sep 17, 2018 Accepting new patients
Long Island Eye Surgical Care, PC Ophthalmology Past Accepting new patients

Locations

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1962514992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 US HIGHWAY 441",
            "address_2": "MID-FLORIDA EYE CENTER",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 US HIGHWAY 441",
            "address_2": "MID-FLORIDA EYE CENTER",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-SAINS",
        "first_name": "RENE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME147023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388582401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.