St Lucys Eye Institute of Oviedo LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ST LUCYS EYE INSTITUTE OF OVIEDO LLC

Practice address

1975 S John Young Pkwy
Suite 204
Kissimmee, FL 34741-0603

Phone

(407) 392-2020

Fax

(352) 289-6002

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

John Livecchi, MD

Title

Owner

Phone

(407) 459-1181

Specialties & licenses 1

Addresses

Other names 1

• St Lucys Eye Institute Doing business as

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1285085985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N ORANGE AVE",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045509",
            "telephone_number": "407-459-1181",
            "fax_number": "321-732-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY",
            "address_2": "SUITE 204",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410603",
            "telephone_number": "407-392-2020",
            "fax_number": "352-289-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCYS EYE INSTITUTE OF OVIEDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "LIVECCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-459-1181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lucys Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.