Individual provider Active NPI

Joah Francis Aliancy, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Port Orange, FL
National Provider Identifier
1083155295
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
ME0155678 Issued in FL
Practice address
3641 Clyde Morris Blvd Ste 500
Port Orange, FL 32129-2357
Phone
(561) 542-1134
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X ME0155678 FL Primary

Addresses

Primary practice location

3641 Clyde Morris Blvd Ste 500
Port Orange, FL 32129-2357

Mailing address

22 Aucuba Cir
Ormond Beach, FL 32174-1494
Phone (561) 542-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819002764 FL Practitioner - Ophthalmology 9830437441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 Hooks St
Clermont, FL 34711-3514
Phone (352) 717-4080

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0155678FLMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Eye Institute LLC Glaucoma Specialist CurrentSince Jan 30, 2025 Accepting new patients
Premier Eye Clinic Ophthalmology PastSince Aug 15, 2022 Accepting new patients

Locations

2400 Hooks St
Clermont, FL 34711
Phone (352) 241-6460

Interoperability endpoints

  • Direct secure messaging: jaliancy@aliancy.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1083155295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 AUCUBA CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741494",
            "telephone_number": "561-542-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 CLYDE MORRIS BLVD STE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292357",
            "telephone_number": "561-542-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIANCY",
        "first_name": "JOAH",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "FL",
            "license": "ME0155678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.