Provider Demographics
NPI:1538151485
Name:PAGLIA, CHARLES F (OD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:F
Last Name:PAGLIA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 SW COLLEGE RD UNIT 1462
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2701
Mailing Address - Country:US
Mailing Address - Phone:352-622-5183
Mailing Address - Fax:352-622-2720
Practice Address - Street 1:1950 LAUREL MANOR DR STE 250
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5602
Practice Address - Country:US
Practice Address - Phone:352-622-5183
Practice Address - Fax:352-629-5026
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2822152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620996300Medicaid
FL20548OtherBCBS
FL0014366OtherCIGNA
FL0173735OtherGHI
FL5554555OtherAETNA
FL20548UMedicare PIN
FL0014366OtherCIGNA
FLU53523Medicare UPIN
FL20548TMedicare PIN