Active NPI
Florida Eye Clinic P.a.
- Optometrist
- Altamonte Springs, FL
National Provider Identifier
1013981786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FLORIDA EYE CLINIC P.A.
- Practice address
- 160 Boston Ave
Altamonte Springs, FL 32701-4706 - Phone
- (407) 339-0303
- Fax
- (407) 339-0961
- NPI assigned
- Feb 17, 2006
- Last updated
- Dec 21, 2020
- Organization subpart
- Yes
- Parent organization
- FLORIDA EYE CLINIC PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Pappas, MD
- Title
- Authorized Official
- Phone
- (407) 834-7776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
160 Boston Ave
Altamonte Springs, FL 32701-4706
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 834-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208488105 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000005 | FL | Part B Supplier - Clinic/Group Practice | 6406758846 |
Receives reassigned benefits from 37 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Springs, FL; Windermere, FL; Ormond Beach, FL; Orlando, FL; Orange City, FL; Ocoee, FL; Kissimmee, FL; Clermont, FL… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Robert V Landall OD PA
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Altamonte Springs, FL
- NPI 1457342560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1013981786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-834-7776",
"fax_number": "407-834-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-339-0303",
"fax_number": "407-339-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA EYE CLINIC P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA EYE CLINIC PA",
"enumeration_date": "2006-02-17",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "PAPPAS",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "407-834-7776",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208488105",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
- Florida Cosmetic Surgery Center
- Florida Eye Clinic Ambulatory Surgery Center, Inc.
- Florida Eye Clinic Ambulatory Surgical Center Inc
- Florida Eye Clinic Ambulatory Surgical Center Inc
- Florida Eye Clinic P a
- Florida Hospital Home Infusion,LLP
- Florida Injury Group, LLC
- Florida Oncology Network PA
- Florida Optical Express
- Florida Ortho Care Network, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.