Eye Specialists of Mid Florida, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME32357 Issued in FL

Legal business name

EYE SPECIALISTS OF MID FLORIDA, PA

Practice address

100 Patterson Rd
Haines City, FL 33844-7840

Phone

(863) 422-4429

Fax

(863) 421-4280

NPI assigned

Oct 23, 2009

Organization subpart

Yes

Parent organization

EYE SPECIALISTS OF MID FLORIDA, P.A.As reported in NPPES

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

Authorized official

Name

Daniel Welch, M.D.

Title

President

Phone

(863) 294-3504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eye Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1275841389

  8022003235

  Same PAC ID
• Eye Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1366437162

  8022003235

  Same PAC ID
• Eye Specialists of Mid Florida, PA

  • Ophthalmology Physician
  • Lake Wales, FL
  • NPI 1588990758

  8022003235

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Scott E Klein DO6 organizations share this tax ID, including this one

Part of

Scott E Klein DO

Other organizations with this tax ID 5

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

• Eye Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1275841389
  NPD tax ID
• Eye Specialists of Mid Florida PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1366437162
  NPD tax ID
• Eye Specialists of Mid Florida, PA

  • Ophthalmology Physician
  • Lake Wales, FL
  • NPI 1588990758
  NPD tax ID
• Eye Specialists of Mid Florida, PA

  • Optometrist
  • Lakeland, FL
  • NPI 1609494566
  NPD tax ID
• Eye Specialists of Mid-Florida, PA

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1417317389
  NPD tax ID

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1497081665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "863-942-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATTERSON RD",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447840",
            "telephone_number": "863-422-4429",
            "fax_number": "863-421-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF MID FLORIDA, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SPECIALISTS OF MID FLORIDA, P.A.",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-294-3504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME32357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.