Central Florida Eye Specialists PL

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL FLORIDA EYE SPECIALISTS PL

Doing business as

Pennachio Eye

Practice address

14244 State Road 50
Clermont, FL 34711-8003

Phone

(352) 227-1999

Fax

(352) 227-1001

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 3

Addresses

Other names 1

• Pennachio Eye Doing business as

Tax ID family

Central Florida Eye Specialists PL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Florida Eye Specialists PL

  dba Pennachio Eye

  • Ophthalmology Physician
  • Eustis, FL
  • NPI 1679386908
  NPD tax ID

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1144033473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSS ST 154-0455 BOX 36579",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152620001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14244 STATE ROAD 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118003",
            "telephone_number": "352-227-1999",
            "fax_number": "352-227-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA EYE SPECIALISTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennachio Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Florida Accident and Injury (Pain Free Orlando)
• Central Florida Dental Group, Inc.
• Central Florida Dreamplex LLC
• Central Florida Dreamplex LLC
• Central Florida Dreamplex LLC
• Central Florida Mental Health
• Timoteo Juan Chacon, CRNA
• Deborah Frances Chakalakis, RN
• Kristofer Chambers
• Bryan A Chaname-Matos

• Ophthalmology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.