NPIMap

Organization Active NPI

Central Florida Premier Eye Associates

Doing business as Lake Eye Associates

  • Ophthalmology Physician
  • Tavares, FL
National Provider Identifier
1013956986
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CENTRAL FLORIDA PREMIER EYE ASSOCIATES
Doing business as
Lake Eye Associates
Practice address
1852 Mayo Dr
Tavares, FL 32778-4320
Phone
(352) 343-2020
Fax
(352) 343-4728
NPI assigned
Jun 6, 2006
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Scott Wehrly, MDNPI 1174563696
Title
President
Phone
(352) 343-4798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1852 Mayo Dr
Tavares, FL 32778-4320

Mailing address

1852 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 343-2020

Other identifiers 2

IdentifierTypeStateIssuer
98103OtherBLUE CROSS BLUE SHIELD
278334700MedicaidFL

Other names 1

  • Lake Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000648 FL Part B Supplier - Clinic/Group Practice 7618914664 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Lady Lake, FL; Wildwood, FL; The Villages, FL; Tavares, FL; Leesburg, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Central Florida Premier11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Highway 466
Ste 102
Lady Lake, FL 32159

1400 N US Highway 441
Ste 521
The Villages, FL 32159
Phone (352) 253-5961

5431 E State Road 44
Ste 1
Wildwood, FL 34785
Phone (352) 360-6261

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1013956986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784320",
            "telephone_number": "352-343-2020",
            "fax_number": "352-343-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784320",
            "telephone_number": "352-343-2020",
            "fax_number": "352-343-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA PREMIER EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "WEHRLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-343-4798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "98103",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278334700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.