Individual provider Active NPI

Georgina Elena Araoz, O.D.

  • Optometrist
  • Stuart, FL
National Provider Identifier
1982738464
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3965 Issued in FL
Practice address
4211 SE Federal Hwy
102C
Stuart, FL 34997
Phone
(404) 808-8838
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3965 FL Primary

Addresses

Primary practice location

4211 SE Federal Hwy
102C
Stuart, FL 34997

Mailing address

4211 SE Federal Hwy
102C
Stuart, FL 34997
Phone (404) 808-8838

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
I20210211001259 FL Practitioner - Optometry 6204241979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

435 21St St
Vero Beach, FL 32960-5455
Phone (772) 567-9142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552780800000",
    "number": "1982738464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 SE FEDERAL HWY",
            "address_2": "102C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "404-808-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 SE FEDERAL HWY",
            "address_2": "102C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "404-808-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAOZ",
        "first_name": "GEORGINA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.