Organization Active NPI

De Zayas Eye Associates, PA

  • Ophthalmology Physician
  • Rockledge, FL
National Provider Identifier
1487831830
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME51039 Issued in FL
Legal business name
DE ZAYAS EYE ASSOCIATES, PA
Practice address
1282 S US Highway 1
Suite 2
Rockledge, FL 32955-2747
Phone
(321) 632-0012
Fax
(321) 632-8532
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. Luis E De Zayas, MDNPI 1114948346
Title
President
Phone
(321) 632-0012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME51039 FL Primary

Addresses

Primary practice location

1282 S US Highway 1
Suite 2
Rockledge, FL 32955-2747

Mailing address

1282 S US Highway 1
Suite 2
Rockledge, FL 32955-2747
Phone (321) 632-0012

Other identifiers 1

IdentifierTypeStateIssuer
062269901MedicaidFL

National Provider Directory

National Provider Directory

Locations

1282 US Highway 1
Ste 2
Rockledge, FL 32955
Phone (321) 632-0012

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1487831830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 S US HIGHWAY 1",
            "address_2": "SUITE 2",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552747",
            "telephone_number": "321-632-0012",
            "fax_number": "321-632-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 S US HIGHWAY 1",
            "address_2": "SUITE 2",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552747",
            "telephone_number": "321-632-0012",
            "fax_number": "321-632-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ZAYAS EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "DE ZAYAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-632-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME51039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062269901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.