NPIMap

Organization Active NPI

Florida Eye Clinic P a

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1528032299
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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
Organization subpart
Yes
Parent organization
FLROIDA EYE CLINIC P AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Harry Pappas, MDNPI 1457342560
Title
Authorized Official
Phone
(407) 834-7776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
208488103MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

View all 15

National Provider Directory

National Provider Directory
Part of
Thomas D Mauger OD

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

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": "193400000X MULTIPLE SINGLE SPECIALTY 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

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.

Verify at the official NPI Registry.