Eye Care Associates of Central Florida, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4399 Issued in FL

Legal business name

EYE CARE ASSOCIATES OF CENTRAL FLORIDA, P.A.

Practice address

15508 W Colonial Dr Ste 102
Winter Garden, FL 34787-9557

Phone

(407) 798-8880

Fax

(407) 798-8810

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Zak KimbleNPI 1952566721

Title

President

Phone

(954) 849-4656

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Zak Kimble, O.D.

  • Optometrist
  • Winter Garden, FL
  • NPI 1952566721
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1285028134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W COLONIAL DR STE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879557",
            "telephone_number": "407-798-8880",
            "fax_number": "407-798-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 W COLONIAL DR STE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879557",
            "telephone_number": "407-798-8880",
            "fax_number": "407-798-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF CENTRAL FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ZAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-849-4656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000236600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine R Everding, MD
• Elizabeth Everett
• Express Global Medical Services
• Express Pharmacy
• Extra Care City Pharmacy LLC (Extracare City Pharmacy)
• Serena Faint, RBT
• Kahdija Bianka Faison, RBT
• Renee Fajardin, DDS
• Zahily Fals, M.D
• Priscilla Familia

• Optometrist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.

Verify at the official NPI Registry.