Organization Active NPI

You and Eyecare, LLC

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1023709201
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YOU AND EYECARE, LLC
Practice address
112 Marcia Dr
Altamonte Springs, FL 32714-2913
Phone
(407) 620-6428
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Haleh Shams, ODNPI 1639371438
Title
President
Phone
(407) 620-6428

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

112 Marcia Dr
Altamonte Springs, FL 32714-2913

Mailing address

772 Preserve Ter
Lake Mary, FL 32746-5201
Phone (407) 620-6428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823001165 FL Part B Supplier - Clinic/Group Practice 4789047846 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

112 Marcia Dr
Altamonte Springs, FL 32714
Phone (407) 337-6306

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1023709201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 PRESERVE TER",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465201",
            "telephone_number": "407-620-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARCIA DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142913",
            "telephone_number": "407-620-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOU AND EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SHAMS",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-620-6428",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.