NPIMap

Organization Active NPI

New Vision Eye Center, LLC

  • Specialist
  • Vero Beach, FL
National Provider Identifier
1255568879
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 31595 Issued in FL
Legal business name
NEW VISION EYE CENTER, LLC
Practice address
1055 37TH PL
Vero Beach, FL 32960-6551
Phone
(772) 257-8700
Fax
(772) 257-8705
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Dr. Paul Victor Minotty, M.D.NPI 1124073598
Title
Manager
Phone
(772) 257-8700

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 31595 FL Primary

Addresses

Primary practice location

1055 37TH PL
Vero Beach, FL 32960-6551

Mailing address

1055 37TH PL
Vero Beach, FL 32960-6551
Phone (772) 257-8700

Other practice location 1

1040 37th Pl Ste 101102
Vero Beach, FL 32960-4806
Phone (772) 257-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000849 FL Part B Supplier - Clinic/Group Practice 8123171741 Receives reassigned benefits from 12 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1040 37th Pl
Vero Beach, FL 32960

1040 37th Pl
Ste 101102
Vero Beach, FL 32960
Phone (772) 257-8700

Practitioners & affiliated clinicians

Practitioners 12

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": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1255568879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606551",
            "telephone_number": "772-257-8700",
            "fax_number": "772-257-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606551",
            "telephone_number": "772-257-8700",
            "fax_number": "772-257-8705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 37th Pl Ste 101102",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604806",
            "country_code": "US",
            "telephone_number": "772-257-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW VISION EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MINOTTY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-257-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME  31595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.