George O Diferdinando, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001527 Issued in FL

Practice address

2659 S Woodland Blvd
Deland, FL 32720-8601

Phone

(386) 736-3579

Fax

(386) 736-6447

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diferdinando & Diferdinando PA

  • Optometrist
  • Deland, FL
  • NPI 1801908686
  NPD Authorized official
• Visionworks Inc

  • Eyewear Supplier
  • Charlotte, NC
  • NPI 1366522112
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962528901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208601",
            "telephone_number": "386-736-3579",
            "fax_number": "386-736-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208601",
            "telephone_number": "386-736-3579",
            "fax_number": "386-736-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFERDINANDO",
        "first_name": "GEORGE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078190800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaiya Dewji Bocas, APRN, WHNP-BC
• Dalanda Mariamma Diallo, M.D.
• Mariah Dickerhoff
• Diferdinando & Diferdinando PA
• Cheryl L Diferdinando, O.D.
• Digestive Health Specialists PA
• Barbara Annette Divincenzo, OTR/L
• Divine Choice Home Health Agency
• Divine Hands Phlebotomy LLC
• Nicole Doherty, DMD

• Optometrist in Deland, FL
• Providers in Deland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.