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NPI Code Detail

MEDICARE: DR. STEFANO RAGOZZINO O.D.

MEDICARE: DR. STEFANO RAGOZZINO 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
1152W00000XOptometrist3940FL
2152W00000XOptometrist2568CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851330930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEFANO RAGOZZINO O.D.
Provider Business Mailing Address
First Line : 17000 TAMIAMI TRL
Second Line :
City : NORTH PORT
State : FL
Zip : 34287-7281
Country : US
Telephone Number : 941-525-4771
Fax Number : 941-497-9833
Provider Business Practice Location Address
First Line : 17000 TAMIAMI TRL
Second Line : VISION CENTER
City : NORTH PORT
State : FL
Zip : 34287-7281
Country : US
Telephone Number : 941-429-1430
Fax Number : 941-423-8952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 03/29/2016

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