Individual provider Active NPI

Paul E Collins, OD

  • Optometrist
  • The Villages, FL
National Provider Identifier
1265545768
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4011 Issued in FL
Practice address
2909 Traverse TRL
Eyesite of the Villages
The Villages, FL 32163-2017
Phone
(352) 674-3937
Fax
(352) 633-8713
NPI assigned
Aug 17, 2006
Last updated
Aug 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4011 FL Primary

Addresses

Primary practice location

2909 Traverse TRL
Eyesite of the Villages
The Villages, FL 32163-2017

Mailing address

2909 Traverse TRL
Eyesite of the Villages
The Villages, FL 32163-2017
Phone (352) 674-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000560 FL Practitioner - Optometry 0648236125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Healthcare LLCGroup PAC ID 1658400809, 2 clinicians

Practice addresses (Care Compare)

301 Colony Blvd
The Villages, FL 32162-6085
Phone (352) 259-1621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lance S Ferguson MD PSC Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1265545768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 TRAVERSE TRL",
            "address_2": "EYESITE OF THE VILLAGES",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632017",
            "telephone_number": "352-674-3937",
            "fax_number": "352-633-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 TRAVERSE TRL",
            "address_2": "EYESITE OF THE VILLAGES",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632017",
            "telephone_number": "352-674-3937",
            "fax_number": "352-633-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.