Associated Comprehensive Eyecare P a
Organization Active NPI Ophthalmology Physician · Ocala, FL
NPI 1407906159 · NPPES record last updated Feb 8, 2011
Key facts
- NPI
- 1407906159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- ME0028326 (FL)
- Legal business name
- ASSOCIATED COMPREHENSIVE EYECARE P A
- Practice address
- 2441 SE Fort King St BLDG 100
Ocala, FL 34471-2558 - Phone
- (352) 732-8404
- Fax
- (352) 732-0177
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Linder Earl Wingo, M.D.
- Title
- President
- Phone
- (352) 732-8404
Practitioners 8
-
James T Pizza, M.D.
-
Linder Earl Wingo, M.D.
-
Roozbeh Akhtari, M.D.
-
James R McNair Jr., M.D.
-
Vivi Shahin Fretland, O.D.
-
Thomas Chwe, O.D.
-
Joseph Lewis Licht, D.O.
-
Christina Kuhn Oliva, DNP, APRN-C, M-CAP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080804000143 | FL | Part B Supplier - Clinic/Group Practice | 0749354157 |
Receives reassigned benefits from 8 practitioners Practice locations: Ocala, FL |
National Provider Directory
Locations
2508 SE 17th St
Ocala, FL 34471
Phone (352) 732-8404
2441 E Fort King St
Ste 101
Ocala, FL 34471
Phone (352) 732-8404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC002774 | FL | |
| Ophthalmology Physician |
207W00000X | ME0028326 | FL | Yes |
Addresses
Primary practice location
2441 SE Fort King St BLDG 100
Ocala, FL 34471-2558
Mailing address
2441 SE Fort King St BLDG 100
Ocala, FL 34471-2558
Phone (352) 732-8404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000062100 | Medicaid | FL | |
| 0004B | Other | FL | BCBS FLORIDA |
Other providers in Ocala, FL
- Alexandria Genise Askew
- Maryam Aslani
- Rangaswamy Asokan
- Aspen Dental
- Aspire Transportation
- Associates for Counseling & Psychotherapy
- Associates for Counseling & Psychotherapy
- Associates for Urology Care of Ocala, P.a.
- Associates of Obsterics & Gynecology, PA
- Assuage Counseling and Consulting, LLC
All providers in Ocala, FL · Ophthalmology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.