Total Eye Care Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TOTAL EYE CARE SURGERY CENTER INC

Practice address

640 S Lake St
Leesburg, FL 34748-5927

Phone

(352) 728-1952

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Michael Pennachio, M.D.NPI 1750312005

Title

President

Phone

(352) 728-1717

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Ambulatory surgical center certification: CCN 10C0001324

Legal name

TOTAL EYE CARE SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 6, 1999

Last certification

Sep 27, 2016

Ownership / control type

Proprietary

Facility address

640 Lake St Suite 101
Leesburg, FL 34748

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Michael Pennachio, M.D.

  • Ophthalmology Physician
  • Leesburg, FL
  • NPI 1750312005
  NPD Authorized official

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1598791105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S LAKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485927",
            "telephone_number": "352-728-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S LAKE ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485927",
            "telephone_number": "352-728-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL EYE CARE SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "PENNACHIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-728-1717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "490004453",
            "identifier": "MCARE RR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom K Leonard MD PA
• Todd Michael Tomlin, R.PH.
• Amanda L Toombs, COTA
• Michele Perrini Topolnicki, PT,MS,GCS
• Jorge E Torres, M.D.
• Total Renal Care Inc
• Touching Heart'S Group Homes, LLC
• Jennifer Trail, COTA/L
• Andrew Vu Thanh Tran, O.D.
• Lily Tran, M.D

• Ambulatory Surgical Clinic/Center in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.