Active NPI
Florida Eye Clinic P a
- Ophthalmology Physician
- Orlando, FL
National Provider Identifier
1528032299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FLORIDA EYE CLINIC P A
- Practice address
- 345 W. Michigan St.
Ste. 118
Orlando, FL 32806-4465 - Phone
- (407) 896-0324
- Fax
- (407) 896-2488
- NPI assigned
- Feb 17, 2006
- Last updated
- Jan 28, 2019
- Organization subpart
- Yes
- Parent organization
- FLROIDA EYE CLINIC P A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Pappas, MD
- Title
- Authorized Official
- Phone
- (407) 834-7776
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
345 W. Michigan St.
Ste. 118
Orlando, FL 32806-4465
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 339-0303
Other practice location 1
1925 E Michigan St
Orlando, FL 32806-4978
Phone (407) 896-0324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208488103 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000005 | FL | Part B Supplier - Clinic/Group Practice | 6406758846 |
Receives reassigned benefits from 37 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Springs, FL; Windermere, FL; Ormond Beach, FL; Orlando, FL; Orange City, FL; Ocoee, FL; Kissimmee, FL; Clermont, FL… |
| O20100930081992 | FL | DME Supplier - Physician - Ophthalmology | 6406758846 | Practice locations: Orlando, FL |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Robert V Landall PA OD
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.
-
- Ophthalmology Physician
- Altamonte Springs, FL
- NPI 1457342560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1528032299",
"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": "407-339-0303",
"fax_number": "407-339-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W. MICHIGAN ST.",
"address_2": "STE. 118",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064465",
"telephone_number": "407-896-0324",
"fax_number": "407-896-2488"
}
],
"practiceLocations": [
{
"address_1": "1925 E Michigan St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328064978",
"country_code": "US",
"telephone_number": "407-896-0324",
"fax_number": "407-896-2488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLORIDA EYE CLINIC P A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLROIDA EYE CLINIC P A",
"enumeration_date": "2006-02-17",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "PAPPAS",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "407-834-7776",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208488103",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Florida Eeg LLC
- Florida Em-I Medical Services, PA
- Florida Emergency Physicians Kang and Associates MD LLC
- Florida Emergency Physicians Kang and Associates MD LLC
- Florida ENT Associates, Inc. (Orlando ENT)
- Florida Eye Clinic P a
- Florida Eye Clinic P a
- Florida Family Physicians
- Florida Foot Care, LLC
- Florida Health Care of Orlando PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.