Advanced Surgical and Medical Eye Care P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME89546 Issued in FL

Legal business name

ADVANCED SURGICAL AND MEDICAL EYE CARE P A

Doing business as

Eyes at the Villages

Practice address

3479 Wedgewood LN
The Villages, FL 32162-7183

Phone

(352) 751-0600

Fax

(352) 751-6800

NPI assigned

Jan 30, 2008

Last updated

Aug 18, 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

Barbara Cardelli

Title

Comptroller

Phone

(352) 753-9888

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Eyes at the Villages 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.

• Advanced Surgical and Medical Eye Care P a

  dba EYES at The Villages

  • Ophthalmology Physician
  • Lady Lake, FL
  • NPI 1285670117

  O20041228000698

  Same enrollment

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.

• Mamdouh Hassan Zeini, M.D., PH.D

  • Ophthalmology Physician
  • Lady Lake, FL
  • NPI 1184794372
  NPD
• Joe Ellis Miller II, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1245411503
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1477730653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BICHARA BLVD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597714",
            "telephone_number": "352-753-9888",
            "fax_number": "352-753-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3479 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627183",
            "telephone_number": "352-751-0600",
            "fax_number": "352-751-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL AND MEDICAL EYE CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "CARDELLI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "352-753-9888"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2612",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME89546",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0071525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184794372",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "K1349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes at the Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Periodontics & Implant Care, LLC
• Advanced Physical Therapy of Central Florida
• Advanced Physical Therapy of Central Florida
• Advanced Physical Therapy of Central Florida, Inc.
• Advanced Surgical and Medical Eye Care (EYES At The Villages)
• Adventist Health System/ Sunbelt, Inc. (AdventHealth Centra Care - Southern Trace)
• Ernesto Africano, M.D.
• Felix Chiebonam Agbo, M.D
• Nina Ahmad, MD
• Helene Manon Aisenstat, M.D.

• Ophthalmology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.