Eye Deal Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4617 Issued in FL

Legal business name

EYE DEAL OPTICAL LLC

Practice address

1204 N John Young Pkwy
Kissimmee, FL 34741-4206

Phone

(407) 933-0082

Fax

(407) 933-0086

NPI assigned

Mar 10, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latchman Hardowar, OD

Title

President

Phone

(407) 933-0082

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Carla Iris Caballero-Ramos, OD

  • Optometrist
  • Orlando, FL
  • NPI 1194041236
  Medicare reassignment NPD
• Lanh Thi Nguyen, O.D.

  • Optometrist
  • Hialeah, FL
  • NPI 1013296508
  Medicare reassignment NPD
• William Rafael Roberts, O.D.

  • Optometrist
  • Kissimmee, FL
  • NPI 1619327905
  Medicare reassignment NPD
• Suraj Sharma, OD

  • Optometrist
  • Orlando, FL
  • NPI 1205674801
  Medicare reassignment NPD

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1083030423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414206",
            "telephone_number": "407-933-0082",
            "fax_number": "407-933-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414206",
            "telephone_number": "407-933-0082",
            "fax_number": "407-933-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DEAL OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "HARDOWAR",
        "authorized_official_first_name": "LATCHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-933-0082",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002880100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exceptional Life LLC
• Exfarma Corporation (Smilebliss Kissimmee)
• Express Apothecary, LLC (Express Apothecary Phcy)
• Eye Care Optical, LLC
• Eye Care Specialists of Flordia LLC
• Eye Doctors Optical Outlets PA
• Eye Express, Inc
• Abdul Kader Ezeldin, MD
• Yasmine Ezzair
• F. Christopher Manlio, DO, PA

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.