DR RYAN VERXAGIO OD PA (NPI# 1932438124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932438124 |
| Entity Type | Organization |
| Organization Name | DR RYAN VERXAGIO OD PA |
| Practice Address |
1315 Silk Oak Dr Hollywood FL 33021-1367 |
| Mailing Address |
2030 S Ocean Dr Apt 2221 Hallandale Beach FL 33009-6649 |
| Practice Telephone | 3054392015 |
| Practice Fax Number | 3055039250 |
| Mailing Telephone | 3054392015 |
| Mailing Fax Number | 3055039250 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. RYAN CARLO VERXAGIO (PRESIDENT) |
| Authorized Official Telephone | 3054392015 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPC3957 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 621009100 | 05 |
| Street Address |
1315 SILK OAK DR |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669432969 | Ryan C Verxagio | Optometrist | 1315 Silk Oak Dr, Hollywood, FL 33021-1367 | 2006-03-23 |
| 1851648026 | Mobile Vision Doctors LLC | Optometrist | 1315 Silk Oak Dr, Hollywood, FL 33021-1367 | 2012-08-07 |
| 1356697064 | Mobile Vision Doctors LLC | Optometrist | 1315 Silk Oak Dr, Hollywood, FL 33021-1367 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851648026 | Mobile Vision Doctors LLC | Optometrist | 1315 Silk Oak Dr, Hollywood, FL 33021-1367 | 2012-08-07 |
| 1356697064 | Mobile Vision Doctors LLC | Optometrist | 1315 Silk Oak Dr, Hollywood, FL 33021-1367 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600790 | West Coast Eye Institute Pa | Optometrist | 212 S Apopka Ave, Inverness, FL 34452-4803 | 2014-04-17 |
| 1710257910 | Rebecca Irene Munjak | Optometrist | 10000 Bay Pines, Bay Pines, FL 33744-5005 | 2012-01-04 |
| 1063420172 | Second Sight Rehab Pa | Optometrist | 4101 Nw 89th Blvd, Shands Rehabilitation Hospital, Gainesville, FL 32606-3813 | 2006-08-04 |
| 1669493219 | Harlyne Beth Knight-hantman | Optometrist | 17940 Military Trl Ste 400, Boca Raton, FL 33496-2411 | 2006-07-21 |
| 1619917374 | Rosemary Anne Carrera | Optometrist | 8100 Coral Way, Miami, FL 33155-1227 | 2006-06-08 |
| 1801858071 | Lighthouse of Pinellas Inc | Optometrist | 6925 112th Cir, Largo, FL 33773-5200 | 2006-04-04 |
| 1063489904 | Christopher R Choat | Optometrist | 215 E New Hampshire St, Orlando, FL 32804-6403 | 2006-02-28 |
| 1639660731 | Dayone | Optometrist | 8030 W Mcnab Rd, North Lauderdale, FL 33068-4226 | 2018-05-23 |
| 1770037186 | Salh Vision Enterprises Inc | Optometrist | 1400 S Orlando Ave, Suite 320, Winter Park, FL 32789-5543 | 2016-08-15 |
| 1063836625 | Schott Vision Care Pa | Optometrist | 600 S Orlando Ave, Suite 300, Maitland, FL 32751-5660 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.