Individual provider Active NPI

Jose Alfredo Vazquez, MD FAAO

  • Ophthalmology Physician
  • Tavares, FL
National Provider Identifier
1467659581
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME135797 Issued in FL
Practice address
1852 Mayo Dr
Tavares, FL 32778-4320
Phone
(523) 432-0203
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 ME135797 FL Primary

Addresses

Primary practice location

1852 Mayo Dr
Tavares, FL 32778-4320

Mailing address

4010 SE 22ND St
Ocala, FL 34471-5699
Phone (407) 733-0194

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
I20130613000360 FL Practitioner - Ophthalmology 1456327089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ponce School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Premier Eye AssociatesGroup PAC ID 7618914664, 9 clinicians

Practice addresses (Care Compare)

1852 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 343-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Surgery Center LLC CurrentSince Dec 16, 2019 Accepting new patients
Central Florida Premier Eye Associates Ophthalmology CurrentSince Dec 16, 2019 Accepting new patients

Locations

601 E Dixie Ave
Ste 201
Leesburg, FL 34748
Phone (352) 253-5961

1852 Mayo Dr
Tavares, FL 32778
Phone (352) 343-2020

1400 N US Highway 441
Ste 521
The Villages, FL 32159
Phone (352) 253-5961

5431 E State Road 44
Ste 1
Wildwood, FL 34785
Phone (352) 360-6261

Organizations & group practices 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1467659581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SE 22ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715699",
            "telephone_number": "407-733-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784320",
            "telephone_number": "523-432-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JOSE",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "MD FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME135797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.