Active NPI
Collins Healthcare LLC
- Optometrist
- The Villages, FL
National Provider Identifier
1154555845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4011
- Legal business name
- COLLINS HEALTHCARE LLC
- Practice address
- 301 Colony Blvd
The Villages, FL 32162-6085 - Phone
- (352) 259-1621
- NPI assigned
- May 8, 2009
- 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
- Dr. Paul Collins
- Title
- Optometrist
- Phone
- (859) 312-2972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4011 | FL | Primary |
Addresses
Primary practice location
301 Colony Blvd
The Villages, FL 32162-6085
Mailing address
6795 SW 131St PL
Ocala, FL 34473-1914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265545768 | Other | FL | PERSONAL NPI |
| OPC 4011 | Other | FL | FLORIDA LICENSE TO PRACTICE OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100526000353 | FL | Part B Supplier - Clinic/Group Practice | 1658400809 |
Receives reassigned benefits from 2 practitioners Practice locations: The Villages, FL |
National Provider Directory
National Provider DirectoryLocations
301 Colony Blvd
The Villages, FL 32162
Phone (352) 259-1621
2909 Traverse Trl
The Villages, FL 32163
Phone (352) 674-3937
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241740800000",
"number": "1154555845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6795 SW 131ST PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344731914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626085",
"telephone_number": "352-259-1621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLINS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-08",
"last_updated": "2009-05-08",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "859-312-2972",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1265545768",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE TO PRACTICE OPTOMETRY",
"identifier": "OPC 4011",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
- Michele A Cofield, M.D.
- Cogent Healthcare of Pensacola LLC
- Loren Cedar Cole, OCCUPATIONAL THERAPI
- Michael Kent Coletti II, APRN, FNP-C
- Cristina Elisa Collazo-Suarez, MD
- Alexandra Nicole Collins, PA-C
- James Christopher Collins, LMHC
- Paul E Collins, OD
- Colony Chiropractic Center PA
- Comfortable Care Dental Health Professionals, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.