Organization Active NPI

Florida Vision Centers Inc

  • Ophthalmology Physician
  • Estero, FL
National Provider Identifier
1245626027
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME103168 Issued in FL
Legal business name
FLORIDA VISION CENTERS INC
Practice address
22904 Lyden Dr Unit 105
Estero, FL 33928-7048
Phone
(239) 353-6118
Fax
(239) 790-1087
NPI assigned
Apr 8, 2015
Last updated
Jul 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Dr. Boris Ovodenko, MDNPI 1598813750
Title
President
Phone
(239) 353-6118

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
Ophthalmology Physician 207W00000X ME103168 FL Primary

Addresses

Primary practice location

22904 Lyden Dr Unit 105
Estero, FL 33928-7048

Mailing address

22904 Lyden Dr Unit 105
Estero, FL 33928-7048
Phone (239) 353-6118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250704000104 FL Part B Supplier - Clinic/Group Practice 0345754198 Receives reassigned benefits from 1 practitioner
Practice locations: Estero, FL

National Provider Directory

National Provider Directory

Locations

28901 Trails Edge Blvd
Ste 201
Bonita Springs, FL 34134

22904 Lyden Dr
Unit 105
Estero, FL 33928
Phone (239) 353-6118

Practitioners & affiliated clinicians

Practitioners 1

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": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1245626027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22904 LYDEN DR UNIT 105",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287048",
            "telephone_number": "239-353-6118",
            "fax_number": "239-790-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22904 LYDEN DR UNIT 105",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339287048",
            "telephone_number": "239-353-6118",
            "fax_number": "239-790-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "OVODENKO",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-353-6118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME103168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.