Organization Active NPI

Eyes & Optics, PL

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1407008105
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003140 Issued in FL
Legal business name
EYES & OPTICS, PL
Practice address
312 N Park Ave
Winter Park, FL 32789-3305
Phone
(407) 644-5156
Fax
(407) 644-5290
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Phillip J. Mackinder, O.D.
Title
Partner
Phone
(407) 644-5156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC003140 FL Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC003232 FL

Addresses

Primary practice location

312 N Park Ave
Winter Park, FL 32789-3305

Mailing address

312 N Park Ave
Winter Park, FL 32789-3305
Phone (407) 644-5156

Other identifiers 2

IdentifierTypeStateIssuer
1730171174OtherFLNPI
1902954092OtherFLNPI

Other names 1

  • Eyes & Optics Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1407008105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N PARK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893305",
            "telephone_number": "407-644-5156",
            "fax_number": "407-644-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N PARK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893305",
            "telephone_number": "407-644-5156",
            "fax_number": "407-644-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES & OPTICS, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "MACKINDER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-644-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003140",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730171174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902954092",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes & Optics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.