Florida Eye Clinic P a

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FLORIDA EYE CLINIC P A

Practice address

100 International Pkwy
#118
Lake Mary, FL 32746-7302

Phone

(407) 805-0425

Fax

(407) 333-0195

NPI assigned

Feb 21, 2006

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

FLROIDA EYE CLINIC P AAs reported in NPPES

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

Authorized official

Name

Gen Parm

Title

Administrator

Phone

(407) 834-7776

Specialties & licenses 2

Addresses

Tax ID family

Robert V Landall OD PA2 organizations share this tax ID, including this one

Part of

Robert V Landall OD PA

Other organizations with this tax ID 1

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

• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Altamonte Springs, FL
  • NPI 1417921180
  NPD tax ID

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.

• Evelyn Mavrofrides, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1275524209
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1518932797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014706",
            "telephone_number": "407-834-7776",
            "fax_number": "407-834-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INTERNATIONAL PKWY",
            "address_2": "#118",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467302",
            "telephone_number": "407-805-0425",
            "fax_number": "407-333-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CLINIC P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLROIDA EYE CLINIC P A",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "PARM",
        "authorized_official_first_name": "GEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-834-7776"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Cancer Specialists & Research Institute, LLC
• Florida Cancer Specialists & Research Institute, LLC
• Florida Cancer Specialists P L
• Florida Center for Plastic & Hand Surgery
• Florida Diagnostic Solutions LLC
• Florida Foot & Ankle Group PA
• Florida Foot & Ankle Group PA
• Florida Health Care Plan Inc
• Florida Hospital Medical Group Inc (Rothman Orthopaedics AdventHealth Medical Group at Lake Mary)
• Florida Internal Medicine PA

• Optometrist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.