Organization Active NPI

Eye Specialists of Florida, PA

  • Ophthalmology Physician
  • Mount Dora, FL
National Provider Identifier
1033269709
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE SPECIALISTS OF FLORIDA, PA
Practice address
4880 N Highway 19a
Suite 100
Mount Dora, FL 32757-2018
Phone
(352) 357-8810
Fax
(352) 357-8811
NPI assigned
Jan 12, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Ms. Tonya Smith
Title
Office Manager
Phone
(352) 242-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X FL Primary

Addresses

Primary practice location

4880 N Highway 19a
Suite 100
Mount Dora, FL 32757-2018

Mailing address

1715 E Highway 50
Suite a
Clermont, FL 34711-5187
Phone (352) 243-8704

National Provider Directory

National Provider Directory

Locations

1715 E Highway 50
Ste A
Clermont, FL 34711
Phone (352) 242-0382

4880 N Highway 19A
Ste 100
Mount Dora, FL 32757
Phone (352) 357-1203

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1033269709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E HIGHWAY 50",
            "address_2": "SUITE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115187",
            "telephone_number": "352-243-8704",
            "fax_number": "352-243-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N HIGHWAY 19A",
            "address_2": "SUITE 100",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572018",
            "telephone_number": "352-357-8810",
            "fax_number": "352-357-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-242-4556",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.