Active NPI
Omega Vision Center PA
- Optometrist
- Longwood, FL
National Provider Identifier
1598822249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC003672
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Pearson, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Longwood, FL
- NPI 1043312622
-
- Optometrist
- Altamonte Springs, FL
- NPI 1376112367
-
- Optometrist
- Altamonte Springs, FL
- NPI 1063827228
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.