Organization Active NPI

Associated Comprehensive Eyecare P a

  • Ophthalmology Physician
  • Ocala, FL
National Provider Identifier
1407906159
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0028326 Issued in 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
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Linder Earl Wingo, M.D.NPI 1699771907
Title
President
Phone
(352) 732-8404

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC002774 FL
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME0028326 FL Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000143 FL Part B Supplier - Clinic/Group Practice 0749354157 Receives reassigned benefits from 8 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2441 E Fort King St
Ste 100
Ocala, FL 34471
Phone (352) 629-2422

2508 SE 17th St
Ocala, FL 34471
Phone (352) 732-8404

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1407906159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 SE FORT KING ST BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712558",
            "telephone_number": "352-732-8404",
            "fax_number": "352-732-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 SE FORT KING ST BLDG 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712558",
            "telephone_number": "352-732-8404",
            "fax_number": "352-732-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COMPREHENSIVE EYECARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "LINDER",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-732-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002774",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0028326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.