Active NPI
Tomoka Eye Associates
- Ophthalmology Physician
- Ormond Beach, FL
National Provider Identifier
1265482970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- TOMOKA EYE ASSOCIATES
- Practice address
- 345 Clyde Morris Blvd
Suite 330
Ormond Beach, FL 32174-3111 - Phone
- (386) 672-4244
- Fax
- (386) 672-0603
- NPI assigned
- May 11, 2006
- Last updated
- Aug 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Howard Shollenberger
- Title
- Ceo
- Phone
- (386) 506-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
345 Clyde Morris Blvd
Suite 330
Ormond Beach, FL 32174-3111
Mailing address
21 Hospital Dr Ste 160
Palm Coast, FL 32164-2454
Phone (386) 586-3711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256352501 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050104000735 | FL | Part B Supplier - Clinic/Group Practice | 2163470436 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ormond Beach, FL; Port Orange, FL; Palm Coast, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1265482970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOSPITAL DR STE 160",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642454",
"telephone_number": "386-586-3711",
"fax_number": "386-586-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 CLYDE MORRIS BLVD",
"address_2": "SUITE 330",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321743111",
"telephone_number": "386-672-4244",
"fax_number": "386-672-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMOKA EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "SHOLLENBERGER",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-506-8400"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256352501",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
- Tlay Healthcare Services LLC (AccordCare Home Health)
- Tlay Healthcare Services, LLC. (AccordCare Home Health)
- Today Counseling LLC (Kian Jacobs LCSW)
- Jolanta Barbara Tombarkiewicz, MD
- Tomoka Eye Associates
- Tomoka Eye Associates PA (Tomoka Optical)
- Tomoka Eye Associates PA
- Tomoka Medical Lab, Inc.
- Tomoka Orthodontics LLC (Morejon Andrews Orthodontics)
- Tomoka Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.