Individual provider Active NPI

Gregory J Panzo, MD

  • Ophthalmology Physician
  • Mount Dora, FL
National Provider Identifier
1457354573
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0046534 Issued in FL
Practice address
17560 Highway 441
Mount Dora, FL 32757-6711
Phone
(352) 735-2020
Fax
(352) 735-3233
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0046534 FL Primary

Addresses

Primary practice location

17560 Highway 441
Mount Dora, FL 32757-6711

Mailing address

17560 Highway 441
Mount Dora, FL 32757-6711
Phone (352) 735-2020

Other identifiers 2

IdentifierTypeStateIssuer
180015935OtherFLRAILROAD MEDICARE
0415367700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000167 FL Practitioner - Ophthalmology 8820160781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Eye Center PAGroup PAC ID 4385678747, 11 clinicians

Practice addresses (Care Compare)

17556 SE 109TH Terrace Rd
Summerfield, FL 34491-6907
Phone (352) 744-7002

17560 US Hwy 441
Mount Dora, FL 32757-6711

17564 US Hwy 441
Mount Dora, FL 32757-6711
Phone (352) 735-4100

5743 Williamsburg LN
Wildwood, FL 34785-8129
Phone (352) 744-7002

600 N 14TH St
Leesburg, FL 34748-4204
Phone (352) 744-7002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0046534FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Eye Associates PA Ophthalmology Current Accepting new patients
Mid Florida Eye Center PA Ophthalmology CurrentSince Jul 1, 1985 Accepting new patients
Mid Florida Eye Center PA Ophthalmology CurrentSince Jul 1, 1985 Accepting new patients
Mid Florida Eye Center PA Ophthalmology PastSince Jul 1, 1985 Accepting new patients
Mid Florida Eye Center, PA PastSince Jul 1, 1985 Accepting new patients
Mid Florida Eye Center PA Ophthalmology PastSince Jul 1, 1985 Accepting new patients

Locations

12 S Park Ave
Apopka, FL 32703
Phone (407) 801-7775

600 N 14th St
Leesburg, FL 34748
Phone (352) 744-7002

17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855

17556 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 347-2100

5743 Williamsburg Ln
Wildwood, FL 34785
Phone (352) 735-2021

Interoperability endpoints

  • Direct secure messaging: drpanzo@midfloridaeye.ecldirect.net
  • Direct secure messaging: gregory.panzo.p4@direct.drea.nextgenshare.com
  • Direct secure messaging: gpanzo@espflorida.intellechartdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1457354573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZO",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0046534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180015935",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415367700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.