Organization Active NPI

Lake Nona Eye Care, LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1275778920
Registry record updated Jun 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OPC 4075 Issued in FL
Legal business name
LAKE NONA EYE CARE, LLC
Practice address
10743 Narcoossee Rd
A-25
Orlando, FL 32832-6944
Phone
(407) 658-9990
Fax
(407) 658-8880
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2012

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

Authorized official

Name
Dr. Cynthia Ward, OD
Title
President/Owner
Phone
(407) 658-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OPC 4075 FL Primary

Addresses

Primary practice location

10743 Narcoossee Rd
A-25
Orlando, FL 32832-6944

Mailing address

10743 Narcoossee Rd
A-25
Orlando, FL 32832-6944
Phone (407) 658-9990

National Provider Directory

National Provider Directory

Locations

10743 Narcoossee Rd
Ste A25
Orlando, FL 32832
Phone (407) 658-9990

Practitioners & affiliated clinicians

Practitioners 1

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339891200000",
    "number": "1275778920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD",
            "address_2": "A-25",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326944",
            "telephone_number": "407-658-9990",
            "fax_number": "407-658-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 NARCOOSSEE RD",
            "address_2": "A-25",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326944",
            "telephone_number": "407-658-9990",
            "fax_number": "407-658-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2012-06-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-658-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OPC 4075",
            "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 Jun 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.