Organization Active NPI

Collins Healthcare LLC

  • Optometrist
  • The Villages, FL
National Provider Identifier
1154555845
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4011 Issued in FL
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

Updated by the provider on May 8, 2009

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

Authorized official

Name
Dr. Paul CollinsNPI 1265545768
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1265545768OtherFLPERSONAL NPI
OPC 4011OtherFLFLORIDA LICENSE TO PRACTICE OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

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.

Verify at the official NPI Registry.