Florida Retina and Vitreous Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME76040 Issued in FL

Legal business name

FLORIDA RETINA AND VITREOUS CENTER

Practice address

4624 Halder LN
Orlando, FL 32814-6435

Phone

(407) 897-7470

Fax

(407) 897-7473

NPI assigned

Sep 16, 2006

Last updated

Jan 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert J Kraut, M.D.NPI 1306861687

Title

Owner

Phone

(407) 897-7470

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Robert Jay Kraut, M.D.

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1306861687
  Medicare reassignment NPD Authorized official
• Tamer M. El-Helw, M.D.

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1780622472
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1477659282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 HALDER LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146435",
            "telephone_number": "407-897-7470",
            "fax_number": "407-897-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 HALDER LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146435",
            "telephone_number": "407-897-7470",
            "fax_number": "407-897-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA RETINA AND VITREOUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-897-7470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME76040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6442",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7746537",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Radiology Imaging at Lake Mary LLC (Florida Radiology Imaging at Universal Center)
• Florida Radiology Imaging at Lake Mary LLC (AdventHealth Imaging Waterford Lakes)
• Florida Radiology Imaging at Lake Mary LLC (AdventHealth Imaging Princeton)
• Florida Radiology Imaging at Lake Mary, LLC (AdventHealth Imaging Lake Nona)
• Florida Rehab Associates, Inc.
• Florida Retina Institute James a Staman MD LLC (Florida Retina Institute)
• Florida Service Group LLC
• Florida Sleep and Obesity PLLC
• Florida Sleep Institute, P.a.
• Florida Social Solutions

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.