Central Florida Cataract and Laser Surgery Center, Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

PH16472 Issued in FL

Legal business name

CENTRAL FLORIDA CATARACT AND LASER SURGERY CENTER, INC.

Practice address

801 N Stone St
Deland, FL 32720-3255

Phone

(386) 734-4431

Fax

(386) 738-1045

NPI assigned

Jun 29, 2007

Last updated

Nov 8, 2007By 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

Dr. Michael L Haynes, O.D.NPI 1194721001

Title

Owner

Phone

(386) 734-4431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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.

• Jeffrey R. Golen, M.D.

  • Ophthalmology Physician
  • Oviedo, FL
  • NPI 1952628075
  Medicare reassignment NPD
• Joseph Lewis Licht, D.O.

  • Ophthalmology Physician
  • Crystal River, FL
  • NPI 1497147680
  Medicare reassignment NPD
• Navid Vahidi, MD

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1215961107
  Medicare reassignment NPD
• Brent Ronald Mittelstaedt, D.O.

  • Ophthalmology Physician
  • Murfreesboro, TN
  • NPI 1679751358

  FL

  Medicare reassignment NPD
• Michael L Haynes, O.D.

  • Optometrist
  • Daytona Beach, FL
  • NPI 1194721001
  NPD Authorized official
• Eugenio F Bird, M.D.

  • Specialist
  • Orlando, FL
  • NPI 1467481580
  NPD (past)
• Kourosh Nazari, M.D.

  • Ophthalmology Physician
  • Deland, FL
  • NPI 1881685741
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1508063884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203255",
            "telephone_number": "386-734-4431",
            "fax_number": "386-738-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203255",
            "telephone_number": "386-734-4431",
            "fax_number": "386-738-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA CATARACT AND LASER SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-734-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "FL",
            "license": "PH16472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Dawn Cauffman, RDMS RVT RT(R)
• Adel Marie Ceballos-Rosario, LMHC
• Tama Tahia Cencebaugh
• Center for Pulmonary Medicine, P.a.
• Central Florida Balance LLC
• Central Florida Eye Specialists PL
• Central Florida Mental Health Associates, LLC
• Central Florida Neurologic Consultants, P.a.
• Central Florida Pathologists Laboratory Inc
• Central Florida Quality Care Services, Inc.

• Ophthalmologic Surgery Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Ophthalmologic Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.