Paul Victor Minotty, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME 31595 Issued in FL

Practice address

1055 37TH PL
Vero Beach, FL 32960-6551

Phone

(772) 257-8700

Fax

(772) 257-8705

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Vision Eye Center, LLC

  • Specialist
  • Vero Beach, FL
  • NPI 1255568879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1124073598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606551",
            "telephone_number": "772-257-8700",
            "fax_number": "772-257-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606551",
            "telephone_number": "772-257-8700",
            "fax_number": "772-257-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOTTY",
        "first_name": "PAUL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 31595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039566800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV RR-RAILROAD MEDICAR",
            "identifier": "180003031",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison E Mills, ARNP
• Valerie Milwood, OTR/L, CHT
• Mini Clinic of Vero Beach LLC
• Raquelle Alicia Ministre, M.D.
• Minly Inc
• Darian Dene Minzenmayer
• Fernando G Miranda, MD
• Michelle Misik, CRNA
• Miss B'S Behavioral Services
• Miss B'S Learning Bee'S Inc.

• Ophthalmology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.