Affiliated Eye Specialists P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0047068 Issued in FL

Legal business name

AFFILIATED EYE SPECIALISTS P A

Practice address

331 N Maitland Ave
Ste B2
Maitland, FL 32751-4753

Phone

(407) 740-0331

Fax

(407) 539-2747

NPI assigned

Jan 17, 2007

Last updated

Apr 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Franklin Schwartz, MDNPI 1538177936

Title

President

Phone

(407) 740-0331

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Andrew Aziz, MD

  • Ophthalmology Physician
  • Maitland, FL
  • NPI 1215021050
  Medicare reassignment NPD
• Marc Franklin Schwartz, MD

  • Specialist
  • Maitland, FL
  • NPI 1538177936
  Authorized official Same address or phone
• J Richard Susi, DO

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1871598219
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1396897591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "STE B2",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514753",
            "telephone_number": "407-740-0331",
            "fax_number": "407-539-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAITLAND AVE",
            "address_2": "STE B2",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514753",
            "telephone_number": "407-740-0331",
            "fax_number": "407-539-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED EYE SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-740-0331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MD0047068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA9128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2001142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "72948",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039944200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "72948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IND",
            "identifier": "96809",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1226932007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "13551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Maitland, FL
• Providers in Maitland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.