Organization Active NPI

Sluch LLC

  • Ophthalmology Physician
  • Kissimmee, FL
National Provider Identifier
1336894120
Registry record updated Feb 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SLUCH LLC
Practice address
921 N Main St
Kissimmee, FL 34744-4570
Phone
(407) 933-7800
NPI assigned
Feb 20, 2022
Last updated
Feb 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2022

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

Authorized official

Name
Ilya Sluch, MDNPI 1760828511
Title
Owner
Phone
(405) 762-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary
Cornea and External Diseases Specialist Physician 207WX0120X

Addresses

Primary practice location

921 N Main St
Kissimmee, FL 34744-4570

Mailing address

812 Wood Briar Loop
Sanford, FL 32771-5433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645315200000",
    "number": "1336894120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 WOOD BRIAR LOOP",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444570",
            "telephone_number": "407-933-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLUCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2022-02-20",
        "certification_date": "2022-02-20",
        "status": "A",
        "authorized_official_last_name": "SLUCH",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-762-0077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2022; 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.