St Cloud Eye Center Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME94908 Issued in FL

Legal business name

ST CLOUD EYE CENTER INC

Practice address

10727 Narcoossee Rd
Orlando, FL 32832-6943

Phone

(407) 891-2010

Fax

(407) 891-8211

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Ly T Nguyen, MD

Title

Ophthalmologist/Medical Director

Phone

(407) 891-2010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Cloud Eye Center Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1457509531

  O20090817000009

  Same enrollment

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1215276449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 LAKE CALABAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375435",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 NARCOOSSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326943",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-891-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME94908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003838000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Sroka, MD
• Khaled Srour, MD
• Tammy Ssesanga
• SST Group Inc (Sport Specific Training and Rehab)
• Bessianie Stecie St Amour
• Deborah St Cyr-Paul, RD, LD/N
• Cleane St Eloi, MSW
• Francesse St Eloi, MSW
• Majorie St Germain
• Emily St John, SLPA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.