Organization Active NPI

West Coast Eye Institute PA

  • Ophthalmology Physician
  • Lecanto, FL
National Provider Identifier
1437269446
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS0004322 Issued in FL
Legal business name
WEST COAST EYE INSTITUTE PA
Practice address
240 N Lecanto Hwy
Lecanto, FL 34461-9191
Phone
(352) 746-2246
Fax
(352) 746-2807
NPI assigned
Aug 30, 2006
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST COAST EYE INSTITUTE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. John W Rowda, DONPI 1497865489
Title
President
Phone
(352) 746-2246

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OS0004322 FL
Optometrist 152W00000X OP1974 FL
Ophthalmology Physician 207W00000X ME0060384 FL
Ophthalmology Physician 207W00000X OS0004322 FL Primary

Addresses

Primary practice location

240 N Lecanto Hwy
Lecanto, FL 34461-9191

Mailing address

240 N Lecanto Hwy
Lecanto, FL 34461-9191
Phone (352) 746-2246

Other identifiers 5

IdentifierTypeStateIssuer
5503208OtherGHI
BCBSOtherFL40218
CN2160OtherRAILROAD MEDICARE
378460601MedicaidFL
378460600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505000517 FL Part B Supplier - Clinic/Group Practice 8123016342 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Inverness, FL; Lecanto, FL
O20100930001732 FL DME Supplier - Physician - OphthalmologyDME Supplier - OpticianDME Supplier - Physician - Optometrist 8123016342 Practice locations: Lecanto, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2021936West Coast Eye Institute240 N Lecanto Hwy, Lecanto, FL 34461Certificate of waiverMar 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
West Coast Eye Institute PA240 N Lecanto Hwy, Lecanto, FL 34461-9191(352) 746-2246 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
West Coast Eye Insitute3 organizations share this tax ID, including this one
Part of
West Coast Eye Insitute

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10332 N Citrus Springs Blvd
Citrus Springs, FL 34434
Phone (352) 489-2240

212 S Apopka Ave
Inverness, FL 34452
Phone (352) 419-8928

830 Medical Ct E
Inverness, FL 34452
Phone (352) 726-6633

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1437269446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619191",
            "telephone_number": "352-746-2246",
            "fax_number": "352-746-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619191",
            "telephone_number": "352-746-2246",
            "fax_number": "352-746-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST EYE INSTITUTE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST COAST EYE INSTITUTE PA",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "ROWDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-746-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OS0004322",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1974",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0060384",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS0004322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5503208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "40218",
            "identifier": "BCBS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN2160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378460601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378460600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.