Organization Active NPI

Advanced Medical Eye Consultants LLC

  • Ophthalmology Physician
  • Sebring, FL
National Provider Identifier
1629104674
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ADVANCED MEDICAL EYE CONSULTANTS LLC
Practice address
6801 US Highway 27 N
Suite D-3
Sebring, FL 33870-7840
Phone
(863) 382-7300
Fax
(486) 243-0007
NPI assigned
Feb 26, 2007
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. L.D. Ian Roe, M.D.
Title
Managing Member
Phone
(863) 382-7300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

6801 US Highway 27 N
Suite D-3
Sebring, FL 33870-7840

Mailing address

PO Box 1195
Sebring, FL 33871-1195
Phone (863) 382-7300

Other identifiers 1

IdentifierTypeStateIssuer
1790831220OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

6801 US 27 N
Ste D3
Sebring, FL 33870
Phone (863) 314-8600

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1629104674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1195",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338711195",
            "telephone_number": "863-382-7300",
            "fax_number": "786-243-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "SUITE D-3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-382-7300",
            "fax_number": "486-243-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL EYE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "L.D. IAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "863-382-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790831220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.