Individual provider Active NPI

Charles P Sweeney, M.D.

  • Ophthalmology Physician
  • Lake City, FL
National Provider Identifier
1316922669
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME84605 Issued in FL
Practice address
1615 SW Main Blvd
Lake City, FL 32025-1108
Phone
(386) 755-2785
Fax
(386) 755-1128
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME84605 FL Primary

Addresses

Primary practice location

1615 SW Main Blvd
Lake City, FL 32025-1108

Mailing address

PO Box 489
Lake City, FL 32056-0489
Phone (386) 755-2785

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000721 FL Practitioner - Ophthalmology 1759303803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME84605FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Associates PA Ophthalmology CurrentSince Mar 1, 2024 Accepting new patients
Reichert Eye Centers of N FL, PA Ophthalmology PastSince Mar 1, 2024 Accepting new patients

Locations

7120 NW 11th Pl
Gainesville, FL 32605
Phone (352) 265-0820

1615 SW Main Blvd
Lake City, FL 32025
Phone (386) 755-2785

105 Grand St NE
Live Oak, FL 32064
Phone (386) 364-5677

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/K8KD7A7C
  • Direct secure messaging: csweeney@ceapa.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1316922669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320560489",
            "telephone_number": "386-755-2785",
            "fax_number": "386-755-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251108",
            "telephone_number": "386-755-2785",
            "fax_number": "386-755-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "CHARLES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME84605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.