Lake Nona Ophthalmology PL

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME111106 Issued in FL

Legal business name

LAKE NONA OPHTHALMOLOGY PL

Practice address

6718 Lake Nona Blvd Ste 140
Orlando, FL 32827-7984

Phone

(407) 857-3937

Fax

(407) 392-0420

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chirag Jitendra Patel, M.D.NPI 1245482439

Title

Managing Member

Phone

(352) 978-4896

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Chirag J Patel, M.D.

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1245482439
  Medicare reassignment Care Compare group NPD Authorized official
• Umar Talal Ahmed, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1558857771
  Medicare reassignment Care Compare group NPD
• Chetan Jitendra Patel, M.D.

  • Surgery Physician
  • Orlando, FL
  • NPI 1992071047
  Medicare reassignment NPD

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1508132986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277984",
            "telephone_number": "407-857-3937",
            "fax_number": "407-319-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 LAKE NONA BLVD STE 140",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277984",
            "telephone_number": "407-857-3937",
            "fax_number": "407-392-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA OPHTHALMOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "352-978-4896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME111106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Nona Emergency Physicians LLC
• Lake Nona Endodontics PA (Advanced Endodontics)
• Lake Nona Eye Care, LLC
• Lake Nona Inpatient Services LLC
• Lake Nona Medical Services
• Lake Nona Psychiatric Associates, LLC
• Lake Nona Psychiatric Center, PA
• Lake Nona Spine Center, Inc.
• Lake Nona Surgery Center, LLC
• Lake Nona Vision Inc

• Ophthalmology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.