Organization Active NPI

Central Florida Low Vision Rehabilitation Resource Center, LLC

  • Ophthalmology Physician
  • Altamonte Springs, FL
National Provider Identifier
1356654008
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CENTRAL FLORIDA LOW VISION REHABILITATION RESOURCE CENTER, LLC
Practice address
940 Centre Cir Ste 2004
Altamonte Springs, FL 32714-7242
Phone
(407) 667-0007
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. Kenneth Leslie Lipsitt, M.D.
Title
Member
Phone
(407) 667-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

940 Centre Cir Ste 2004
Altamonte Springs, FL 32714-7242

Mailing address

940 Centre Cir Ste 2004
Altamonte Springs, FL 32714-7242
Phone (407) 667-0007

National Provider Directory

National Provider Directory

Locations

940 Centre Cir
Ste 2004
Altamonte Springs, FL 32714
Phone (407) 667-0007

940 Centre Cir
Ofc
Altamonte Springs, FL 32714
Phone (407) 340-3132

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1356654008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIR STE 2004",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147242",
            "telephone_number": "407-667-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRE CIR STE 2004",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147242",
            "telephone_number": "407-667-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA LOW VISION REHABILITATION RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "LIPSITT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "407-667-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.