St. Cloud Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4211 Issued in FL

Legal business name

ST. CLOUD EYE CARE

Practice address

2050 Old Hickory Tree Rd
Suite I
Saint Cloud, FL 34772-8926

Phone

(407) 556-3969

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Colleen BuiNPI 1528251907

Title

President

Phone

(407) 556-3969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Colleen Bui, OD

  • Optometrist
  • Saint Cloud, FL
  • NPI 1528251907
  Medicare reassignment NPD Authorized official
• Jennifer T. Van, DMD

  • General Practice Dentistry
  • Saint Cloud, FL
  • NPI 1346447828
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1093035032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 OLD HICKORY TREE RD",
            "address_2": "SUITE I",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 OLD HICKORY TREE RD",
            "address_2": "SUITE I",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728926",
            "telephone_number": "407-556-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-556-3969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621268900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Cloud Physician Management LLC
• St Cloud Physician Management LLC (Urology Associates of St. Cloud)
• St Cloud Physician Management LLC (Convenient Care of St. Cloud and Occupational Wellness and Lifestyle C)
• St Cloud Physician Management LLC (Medical Solutions for Women)
• St Cloud Physician Management LLC (St Cloud Medical Group)
• St. Cloud Eye Center, Inc (Eye Florida)
• St. Cloud SLC Opco, LLC
• St. Cloud Smiles, Inc.
• St.Cloud Pharmacy & Wellness Center (St Cloud Compounding Pharmacy & Wellness Center)
• St.Cloud Pharmacy&Wellness Center

• Optometrist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.