Active NPI
Victor A Higuera, OD
- Optometrist
- Mount Dora, FL
National Provider Identifier
1265435358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP002827
- Practice address
- 17560 Highway 441
Mount Dora, FL 32757-6711 - Phone
- (352) 735-2020
- Fax
- (352) 735-3233
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP002827 | FL | Primary |
Addresses
Primary practice location
17560 Highway 441
Mount Dora, FL 32757-6711
Mailing address
17560 Highway 441
Mount Dora, FL 32757-6711
Phone (352) 735-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6920826600 | Medicaid | FL | |
| P000045372 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP002827 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Florida Eye Center PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1265435358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17560 HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576711",
"telephone_number": "352-735-2020",
"fax_number": "352-735-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17560 HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576711",
"telephone_number": "352-735-2020",
"fax_number": "352-735-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGUERA",
"first_name": "VICTOR",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP002827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6920826600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P000045372",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.