Organization Active NPI

Omega Vision Center PA

  • Optometrist
  • Longwood, FL
National Provider Identifier
1598822249
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003672 Issued in FL
Legal business name
OMEGA VISION CENTER PA
Practice address
105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone
(407) 869-4733
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Christopher Pearson, O.D.NPI 1043312622
Title
President
Phone
(407) 869-4733

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC003672 FL Primary

Addresses

Primary practice location

105 E Lake Brantley Dr
Longwood, FL 32779-4806

Mailing address

105 E Lake Brantley Dr
Longwood, FL 32779-4806

Other names 1

  • Sabal Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000758 FL Part B Supplier - Clinic/Group Practice 6002908647 Receives reassigned benefits from 3 practitioners
Practice locations: Longwood, FL

National Provider Directory

National Provider Directory

Locations

105 E Lake Brantley Dr
Longwood, FL 32779
Phone (407) 868-4733

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1598822249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E LAKE BRANTLEY DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794806",
            "telephone_number": "407-869-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA VISION CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-869-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC003672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabal Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.