G Brock Magruder Jr MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME56293 Issued in FL

Legal business name

G BROCK MAGRUDER JR MD PA

Practice address

120 E Par St
Suite 2000
Orlando, FL 32804-3943

Phone

(407) 843-5665

Fax

(407) 872-7939

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. George B. Magruder II, M.D.NPI 1932286416

Title

Medical Director

Phone

(407) 843-5665

Specialties & licenses 1

Addresses

Other names 1

• LaserVue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: lwalsh@magruderlaservision.intellechartdirect.net
• Direct secure messaging: lcallaway@magruderlaservision.intellechartdirect.net

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel David Hunter, M.D.

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1952590978
  Medicare reassignment Care Compare group NPD
• George Brock Magruder Jr., MD

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1932286416
  Medicare reassignment NPD Authorized official
• Michael J Shumski

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1215225370
  Medicare reassignment Care Compare group NPD
• Leslie Ann Callaway, OD

  • Optometrist
  • Melbourne, FL
  • NPI 1861986937
  NPD
• Lindsey Marie Walsh

  • Corneal and Contact Management Optometrist
  • Leesburg, FL
  • NPI 1700378163
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1013214261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E PAR ST",
            "address_2": "SUITE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043943",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E PAR ST",
            "address_2": "SUITE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043943",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G BROCK MAGRUDER JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-843-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME56293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaserVue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• G & Z Digital Solutions LLC
• G.J.Caring Home Care Solutions LLC
• G&N Transportation Services LLC
• G8D, LLC
• Leslie Ann Gaarder, PHARMD
• Gab Community Institute

• Ophthalmology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.