Active NPI
Medical Eye Associates Inc
- Ophthalmology Physician
- Kissimmee, FL
National Provider Identifier
1104878305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME48965
- Legal business name
- MEDICAL EYE ASSOCIATES INC
- Practice address
- 921 N. Main Street
Kissimmee, FL 34744 - Phone
- (407) 933-7800
- Fax
- (407) 933-8657
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Sefcik
- Title
- Administrator
- Phone
- (407) 933-7800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME48965 | FL | Primary |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X |
Addresses
Primary practice location
921 N. Main Street
Kissimmee, FL 34744
Mailing address
921 N Main St
Kissimmee, FL 34744-4570
Phone (407) 933-7800
Other practice location 1
1455 Holden Ave
Orlando, FL 32839-1702
Phone (407) 933-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Kissimmee, FL
- NPI 1023003290
-
- Ophthalmology Physician
- Hudson, FL
- NPI 1518595750
-
- Optometrist
- Niagara Falls, NY
- NPI 1730342767
-
- Optometrist
- Longboat Key, FL
- NPI 1083711196
-
- Optometrist
- Mt. Pocono, PA
- NPI 1598715450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1104878305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444570",
"telephone_number": "407-933-7800",
"fax_number": "407-933-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 N. MAIN STREET",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34744",
"telephone_number": "407-933-7800",
"fax_number": "407-933-8657"
}
],
"practiceLocations": [
{
"address_1": "1455 Holden Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328391702",
"country_code": "US",
"telephone_number": "407-933-7800",
"fax_number": "407-933-8657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDICAL EYE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "SEFCIK",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-933-7800"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME48965",
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.