Florida Eye Clinic, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FLORIDA EYE CLINIC, PA

Practice address

5820 S Williamson Blvd
Ste 106
Port Orange, FL 32128-6400

Phone

(407) 834-7776

Fax

(407) 834-0973

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By 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

Ms. Gen Parm

Title

Administrator

Phone

(407) 834-7776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 15

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

• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Clermont, FL
  • NPI 1154872968

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Optometrist
  • Ormond Beach, FL
  • NPI 1285609461

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Altamonte Springs, FL
  • NPI 1417921180

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Kissimmee, FL
  • NPI 1457325128

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1528032299

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Orange City, FL
  • NPI 1538133228

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Optometrist
  • Titusville, FL
  • NPI 1578537270

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1578538161

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Ocoee, FL
  • NPI 1689649261

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Deland, FL
  • NPI 1760456438

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Optometrist
  • Windermere, FL
  • NPI 1811961584

  O20040126000005

  Same enrollment
• Florida Eye Clinic P a

  • Optometrist
  • Orlando, FL
  • NPI 1952375628

  O20040126000005

  Same enrollment

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Deland, FL
  • NPI 1760456438
  NPPES parent name
• Florida Eye Clinic P a

  • Optometrist
  • Windermere, FL
  • NPI 1811961584
  NPPES parent name
• Florida Eye Clinic P.a.

  • Optometrist
  • Altamonte Springs, FL
  • NPI 1013981786
  NPPES parent name

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1255509709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014706",
            "telephone_number": "407-834-7776",
            "fax_number": "407-834-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 S WILLIAMSON BLVD",
            "address_2": "STE 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286400",
            "telephone_number": "407-834-7776",
            "fax_number": "407-834-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PARM",
        "authorized_official_first_name": "GEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-834-7776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Port Orange, FL
• Providers in Port Orange, 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 19, 2008; 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.