Individual provider Active NPI

Chunfeng Ma, O.D

  • Optometrist
  • Maitland, FL
National Provider Identifier
1548458102
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4210 Issued in FL
Practice address
145 S Orlando Ave
Royal Plaza, Suite 12
Maitland, FL 32751-5692
Phone
(407) 644-2211
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4210 FL Primary

Addresses

Primary practice location

145 S Orlando Ave
Royal Plaza, Suite 12
Maitland, FL 32751-5692

Mailing address

4037 Iveyglen Ave
Orlando, FL 32826-4224
Phone (407) 373-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000486 FL Practitioner - Optometry 7416031091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

12950 E Colonial Dr
Suite 100
Orlando, FL 32826-4609
Phone (407) 658-9020

1700 W Sandlake Rd
D118
Orlando, FL 32809-9149
Phone (407) 351-5745

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2011 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2011 Accepting new patients

Locations

12950 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (352) 361-5205

1700 Sand Lake Rd
Ste D120
Orlando, FL 32809

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1548458102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 IVEYGLEN AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264224",
            "telephone_number": "407-373-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S ORLANDO AVE",
            "address_2": "ROYAL PLAZA, SUITE 12",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515692",
            "telephone_number": "407-644-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CHUNFENG",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.