Organization Active NPI

Michael a. Warner, M.D., P.C.

Doing business as Florida Eyelid and Cosmetic Surgery Specialists

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Lake Mary, FL
National Provider Identifier
1639372832
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
MICHAEL A. WARNER, M.D., P.C.
Doing business as
Florida Eyelid and Cosmetic Surgery Specialists
Practice address
766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555
Phone
(541) 561-5373
NPI assigned
Jun 6, 2007
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Michael A Warner, M.D.NPI 1265458293
Title
President
Phone
(541) 561-5373

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
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X Primary

Addresses

Primary practice location

766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555

Mailing address

766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555
Phone (541) 561-5373

Other identifiers 1

IdentifierTypeStateIssuer
CH2356OtherMEDICARE RR

Other names 1

  • Florida Eyelid and Cosmetic Surgery Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230715000264 FL Part B Supplier - Clinic/Group Practice 1759289929 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL
O20231019001620 CA Part B Supplier - Clinic/Group Practice 1759289929 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

600 NW 11th St
Ste 107
Hermiston, OR 97838
Phone (541) 567-6330

320 SW Court Ave
Pendleton, OR 97801
Phone (541) 276-3213

7301 W Deschutes Ave
Ste E
Kennewick, WA 99336
Phone (509) 374-9035

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1639372832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3090",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "541-561-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3090",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "541-561-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. WARNER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-561-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CH2356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Eyelid and Cosmetic Surgery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.