NPIMap

Organization Active NPI

Ophthalmology Anesthesia Services LLC

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1093741753
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OPHTHALMOLOGY ANESTHESIA SERVICES LLC
Practice address
2130 S Orange Ave
Orlando, FL 32806-3037
Phone
(407) 428-0040
Fax
(407) 428-0045
NPI assigned
Jun 24, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Collin Lemaistre
Title
Authorized Official
Phone
(214) 213-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2130 S Orange Ave
Orlando, FL 32806-3037

Mailing address

2130 S Orange Ave
Orlando, FL 32806-3037
Phone (407) 428-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031224000037 FL Part B Supplier - Clinic/Group Practice 3870491038 Receives reassigned benefits from 46 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

105 Bonnie Loch Ct
Orlando, FL 32806
Phone (407) 428-0040

2130 S Orange Ave
Orlando, FL 32806

14201 Dallas Pkwy
Fl 13
Dallas, TX 75254

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1093741753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063037",
            "telephone_number": "407-428-0040",
            "fax_number": "407-428-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063037",
            "telephone_number": "407-428-0040",
            "fax_number": "407-428-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-213-0732"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.