Medallion Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3236 Issued in FL

Legal business name

MEDALLION ASSOCIATES, LLC

Practice address

2500 S Kirkman Rd
Orlando, FL 32811-2345

Phone

(917) 674-7457

Fax

(954) 208-7456

NPI assigned

Dec 13, 2013

Last updated

Sep 28, 2023By 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

Dr. Norman Lee Herskovich, O.D.NPI 1982893426

Title

Manager

Phone

(917) 674-7457

Specialties & licenses 1

Addresses

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.

• Norman Lee Herskovich, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1982893426
  Authorized official Same address or phone
• Noel Henry, O.D.

  • Optometrist
  • Kissimmee, FL
  • NPI 1871612408
  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1619398880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY STE 254",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "917-674-7457",
            "fax_number": "954-208-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112345",
            "telephone_number": "917-674-7457",
            "fax_number": "954-208-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "HERSKOVICH",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-674-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Mecham
• Med Supply Pros LLC
• Med Y One LLC
• Med/Ex Transportation, Inc
• Emily Scanlon Medal, CRNA
• Dau'WD B. Medan, P.A.
• Irene B Medary, MD
• Max B Medary, M.D.
• Medcare Transport Corp (Medcare Transport)
• Medcare Xpress Walk in Clinic of Semoran

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.