Organization Active NPI

Ashish Sanon MD PA

  • Ophthalmology Physician
  • Beverly Hills, FL
National Provider Identifier
1154427326
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 76594 Issued in FL
Legal business name
ASHISH SANON MD PA
Practice address
3402 N Lecanto Hwy
Suite a
Beverly Hills, FL 34465-3570
Phone
(352) 613-8059
NPI assigned
Sep 15, 2006
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Ashish SanonNPI 1972523405
Title
Secretary
Phone
(352) 613-8059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME 76594 FL Primary

Addresses

Primary practice location

3402 N Lecanto Hwy
Suite a
Beverly Hills, FL 34465-3570

Mailing address

PO Box 640820
Beverly Hills, FL 34464
Phone (352) 613-8059

Other identifiers 1

IdentifierTypeStateIssuer
254665500MedicaidFL

Other names 1

  • Florida Eye Research Group Inc Other name

National Provider Directory

National Provider Directory

Locations

3402 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 613-8059

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1154427326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640820",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34464",
            "telephone_number": "352-613-8059",
            "fax_number": "352-746-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N LECANTO HWY",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653570",
            "telephone_number": "352-613-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHISH SANON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "SANON",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "352-613-8059"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 76594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254665500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Eye Research Group Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.