Organization Active NPI

DV Eye Center, LLC

Doing business as DV Eye Center

  • Optometrist
  • Orlando, FL
National Provider Identifier
1396053237
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3789 Issued in FL
Legal business name
DV EYE CENTER, LLC
Doing business as
DV Eye Center
Practice address
4413 Hoffner Ave
Orlando, FL 32812-2331
Phone
(407) 207-5310
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Vincent Minh DO, O.D.NPI 1366635831
Title
Member
Phone
(407) 207-5310

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3789 FL Primary

Addresses

Primary practice location

4413 Hoffner Ave
Orlando, FL 32812-2331

Mailing address

4413 Hoffner Ave
Orlando, FL 32812-2331
Phone (407) 207-5310

Other names 1

  • DV Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101013000979 FL Part B Supplier - Clinic/Group Practice 7214129915 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Isle, FL

National Provider Directory

National Provider Directory

Locations

4413 Hoffner Ave
Orlando, FL 32812
Phone (407) 207-5310

4574 E Michigan St
Orlando, FL 32812
Phone (321) 281-6800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1396053237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 HOFFNER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122331",
            "telephone_number": "407-207-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 HOFFNER AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122331",
            "telephone_number": "407-207-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "407-207-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DV Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.