Active NPI
Evelyn Mavrofrides, O.D.
- Optometrist
- Orlando, FL
National Provider Identifier
1275524209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2965
- Practice address
- 3817 E Colonial Dr
Orlando, FL 32803-5207 - Phone
- (407) 897-3570
- NPI assigned
- Oct 31, 2005
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | OPC2965 | FL | Primary |
Addresses
Primary practice location
3817 E Colonial Dr
Orlando, FL 32803-5207
Mailing address
5056 Jennifer PL
Orlando, FL 32807-1314
Phone (407) 897-3570
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 |
|---|---|---|---|
| OPC2965 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Eye Clinic P a | Optometrist | Past | Accepting new patients |
| Florida Eye Clinic P a | 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.
-
- Optometrist
- Lake Mary, FL
- NPI 1518932797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1275524209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5056 JENNIFER PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071314",
"telephone_number": "407-897-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3817 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035207",
"telephone_number": "407-897-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVROFRIDES",
"first_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.