Palm Valley Eye Care and Surgeons, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PALM VALLEY EYE CARE AND SURGEONS, LLC

Practice address

35 Executive Way Ste 110
Ponte Vedra Beach, FL 32082-2788

Phone

(904) 712-3315

Fax

(904) 712-3316

NPI assigned

Oct 22, 2018

Last updated

Jan 29, 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

Megan N Scott Carlton, MDNPI 1073957965

Title

MD/Owner

Phone

(904) 712-3315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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.

• Megan N Scott Carlton, M.D.

  • Ophthalmology Physician
  • Ponte Vedra Beach, FL
  • NPI 1073957965
  Medicare reassignment NPD Authorized official
• John H Linder, NP

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
  • NPI 1730648569
  NPD
• Nathan Adam Riddle, D.C.

  • Chiropractor
  • Ponte Vedra Beach, FL
  • NPI 1104021310
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1184190720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EXECUTIVE WAY STE 110",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822788",
            "telephone_number": "904-712-3315",
            "fax_number": "904-712-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EXECUTIVE WAY STE 110",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822788",
            "telephone_number": "904-712-3315",
            "fax_number": "904-712-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY EYE CARE AND SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT CARLTON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "904-712-3315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722671",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Oriolo, BSN
• Emily Ortiz
• Aylin Ozdemir, M.D.
• Richard G Packo, DC
• Thomas Paganucci, M.D.
• Palm Valley Family Dentistry, P.a.
• Palm Valley Family Dentistry, PLLC
• Kenneth Panganiban, PTA
• Carmen Alyssa Parker
• Kathryn Parker

• Ophthalmology Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra 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 Jan 29, 2025; 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.