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NPI Code Detail

MEDICARE: DR. DENNIS CARL RYCZEK O.D.

MEDICARE:  DR. DENNIS CARL RYCZEK  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPC1962FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410044753OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
219288OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447243852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS CARL RYCZEK O.D.
Provider Business Mailing Address
First Line : 5412 CENTRAL AVE
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33707-6131
Country : US
Telephone Number : 727-327-8855
Fax Number : 727-323-0720
Provider Business Practice Location Address
First Line : 5412 CENTRAL AVE
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33707-6131
Country : US
Telephone Number : 727-327-8855
Fax Number : 727-323-0720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 04/29/2026

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Directions to “ DR. DENNIS CARL RYCZEK O.D.” Practice Location

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