Organization Active NPI

Eye Associates of Winter Park

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1407995962
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ASSOCIATES OF WINTER PARK
Doing business as
Eye Associates of Winter Park
Practice address
1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone
(407) 671-5445
Fax
(407) 671-2899
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Gary L. Barker, O.D.
Title
Vice President
Phone
(407) 671-5445

Specialties & licenses 1

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

Addresses

Primary practice location

1928 Howell Branch Rd
Winter Park, FL 32792-1013

Mailing address

1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone (407) 671-5445

Other identifiers 1

IdentifierTypeStateIssuer
084757700MedicaidFL

Other names 1

  • Eye Associates of Winter Park Doing business as

National Provider Directory

National Provider Directory

Locations

1928 Howell Branch Rd
#R
Winter Park, FL 32792

1928 Howell Branch Rd
Winter Park, FL 32792
Phone (407) 671-5445

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1407995962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF WINTER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-671-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084757700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2014; 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.