St Cloud Eye Center Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME94908 Issued in FL

Legal business name

ST CLOUD EYE CENTER INC

Doing business as

Eye Florida

Practice address

4589 H. C. Yates Lane
St Cloud, FL 34769

Phone

(407) 891-2010

Fax

(407) 891-8211

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Ly T Nguyen, MDNPI 1942237193

Title

President

Phone

(407) 891-2010

Specialties & licenses 1

Addresses

Other names 1

• EYE FLORIDA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• St Cloud Eye Center Inc

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1215276449

  O20090817000009

  Same enrollment

Tax ID family

St Cloud Eye Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• St. Cloud Eye Center Inc

  dba Eye Florida

  • Eyewear Supplier
  • Kissimmee, FL
  • NPI 1659641371
  NPD tax ID
• St. Cloud Eye Center, Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Kissimmee, FL
  • NPI 1275927261
  NPD tax ID
• St. Cloud Eye Center, Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1518352210
  NPD tax ID

Locations

Practitioners 2

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.

• Ly Thi Nguyen, M.D.

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1942237193
  Medicare reassignment NPD Authorized official
• Jose A Flores Guevara, M.D.

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1922006337
  Medicare reassignment NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1457509531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 H. C. YATES LANE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691550",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 H. C. YATES LANE",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-891-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME94908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Central Florida Dialysis Partners LLC (St Cloud Dialysis)
• Speech Lab Therapy Center LLC
• Leanne Sprague
• St Cloud Chiropractic, Inc
• St Cloud Emergency Physicians LLC
• St Cloud Eye Center Inc (Eye Florida)
• St Cloud Gastroenterology PLLC
• St Cloud Opco LLC (The Terrace of St Cloud)
• St Cloud Physician Management LLC
• St Cloud Physician Management LLC (Urology Associates of St. Cloud)

• Ophthalmology Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.