NPIMap

Organization Active NPI

Park Avenue Ophthalmics, PLLC

  • Optometrist
  • Apopka, FL
National Provider Identifier
1629272265
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PARK AVENUE OPHTHALMICS, PLLC
Practice address
2269 E Semoran Blvd
Apopka, FL 32703-5713
Phone
(407) 886-2093
Fax
(407) 886-9531
NPI assigned
Jun 14, 2007
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
John T Lehr, MDNPI 1447211289
Title
MD
Phone
(407) 893-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2269 E Semoran Blvd
Apopka, FL 32703-5713

Mailing address

1911 N Mills Ave
Orlando, FL 32803-1407
Phone (407) 893-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930095280 FL DME Supplier - Physician - OptometristDME Supplier - Optician 2567574718 Practice locations: Orlando, FL
O20140311001256 FL Part B Supplier - Clinic/Group Practice 2567574718 Receives reassigned benefits from 4 practitioners
Practice locations: Clearwater, FL; Apopka, FL; Orlando, FL; Kissimmee, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Park Avenue Ophthalmics PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2269 E Semoran Blvd
Apopka, FL 32703
Phone (407) 886-2093

13630 Sachs Ave
Ste 120
Orlando, FL 32827
Phone (407) 893-8200

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1629272265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031407",
            "telephone_number": "407-893-8200",
            "fax_number": "407-893-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 E SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035713",
            "telephone_number": "407-886-2093",
            "fax_number": "407-886-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE OPHTHALMICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "LEHR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-893-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.