Organization Active NPI

Vitaleyes, PLLC

Doing business as Vitaleyes

  • Ophthalmology Physician
  • Summerfield, FL
National Provider Identifier
1043187602
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VITALEYES, PLLC
Doing business as
Vitaleyes
Vitality Medicine
Practice address
17809 SE 109TH Ave Unit 2
Summerfield, FL 34491-8912
Phone
(352) 804-2397
Fax
(352) 244-8776
NPI assigned
Oct 20, 2025
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VITALITY MEDICINE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Alethia Helen PantazisNPI 1164749297
Title
Owner/Physician
Phone
(352) 804-2397

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU
Neuro-ophthalmology Physician 207WX0109X NU

Addresses

Primary practice location

17809 SE 109TH Ave Unit 2
Summerfield, FL 34491-8912

Mailing address

2370 SE Laurel Run Dr
Ocala, FL 34471-8205
Phone (352) 804-2397

Other practice location 1

1317 SE 25th Loop Ste 101
Ocala, FL 34471-6193
Phone (352) 804-2397

Other identifiers 1

IdentifierTypeStateIssuer
1164749297OtherFLNPI

Other names 4

  • Vitaleyes Doing business as
  • Vitality Medicine Doing business as
  • Vitaleyes and Vitality Medicine Other name
  • Vitaleyes with Vitality Medicine Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@vitalitymedicine.net Direct
Direct Messaging Address info@vitalitymedicine.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216000532 FL Part B Supplier - Clinic/Group Practice 8820582935 Receives reassigned benefits from 2 practitioners
Practice locations: Wildwood, FL

National Provider Directory

National Provider Directory

Locations

3220 SW 31st Rd
Ste 301
Ocala, FL 34474
Phone (352) 804-2397

17809 SE 109th Ave
#2
Summerfield, FL 34491

Practitioners & affiliated clinicians

Practitioners 3

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": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1043187602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 SE LAUREL RUN DR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718205",
            "telephone_number": "352-804-2397",
            "fax_number": "352-244-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 SE 109TH AVE UNIT 2",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918912",
            "telephone_number": "352-804-2397",
            "fax_number": "352-244-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 SE 25th Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716193",
            "country_code": "US",
            "telephone_number": "352-804-2397",
            "fax_number": "352-244-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALEYES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALITY MEDICINE, PLLC",
        "enumeration_date": "2025-10-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "PANTAZIS",
        "authorized_official_first_name": "ALETHIA",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "352-804-2397"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164749297",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vitalitymedicine.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FAX 352-244-8776",
            "address_1": "17809 SE 109th Ave Unit 2",
            "city": "Summerfield",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344918912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vitalitymedicine.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17809 SE 109th Ave Unit 2",
            "city": "Summerfield",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344918912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vitaleyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitality Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitaleyes and Vitality Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vitaleyes with Vitality Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.