Eagle Eye Clinic, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EAGLE EYE CLINIC, PA

Practice address

2572 W State Road 426
Suite 3008
Oviedo, FL 32765-8389

Phone

(407) 365-7322

NPI assigned

Oct 22, 2014

Last updated

Apr 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farah GalaydhNPI 1073584546

Title

President

Phone

(407) 365-7322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Farah K Galaydh, MD

  • Ophthalmology Physician
  • Oviedo, FL
  • NPI 1073584546
  Medicare reassignment NPD Authorized official
• Osama Hassan Omar, M.D.

  • Ophthalmology Physician
  • Altamonte Springs, FL
  • NPI 1639104318
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492300800000",
    "number": "1588068373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621736",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327621736",
            "telephone_number": "407-365-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426",
            "address_2": "SUITE 3008",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "407-365-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2017-04-16",
        "status": "A",
        "authorized_official_last_name": "GALAYDH",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-365-7322"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Destiny Eaddy, RBT
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• Erica Easter, AP
• Edward Mitchell Eaton, LMHC
• Katherina Ivanova Echeverria, BCABA
• Mariana Echeverry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2017; 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.