NPIMap

Organization Active NPI

Ocala Eye Surgery Center Inc

Doing business as Ocala Eye Surgery Center at Wildwood

  • Ambulatory Surgical Clinic/Center
  • Wildwood, FL
National Provider Identifier
1649043399
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OCALA EYE SURGERY CENTER INC
Doing business as
Ocala Eye Surgery Center at Wildwood
Practice address
3102 County Road 507
Wildwood, FL 34785-7845
Phone
(352) 873-9311
Fax
(352) 873-9652
NPI assigned
Nov 3, 2023
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OCALA EYE SURGERY CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Ann T Hotaling
Title
Authorized Official
Phone
(352) 873-9311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

3102 County Road 507
Wildwood, FL 34785-7845

Mailing address

3330 SW 33Rd Rd
Ocala, FL 34474-7458
Phone (352) 873-9311

Other names 1

  • Ocala Eye Surgery Center at Wildwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611001349 FL Part B Supplier - Ambulatory Surgical Center 3072591940 Practice locations: Wildwood, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649043399. Details of each certification follow.

Ambulatory surgical center certification: CCN 10C0001753

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OCALA EYE SURGERY CENTER AT WILDWOOD
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 27, 2024
Last certification
Nov 26, 2024
Facility address
3102 County Road 507
Wildwood, FL 34785

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
Ocala Eye Surgery Cente4 organizations share this tax ID, including this one
Part of
Ocala Eye Surgery Cente

Other organizations with this tax ID 3

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

Locations

3330 SW 33rd Rd
Ocala, FL 34474
Phone (352) 873-9311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1649043399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SW 33RD RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747458",
            "telephone_number": "352-873-9311",
            "fax_number": "352-873-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 COUNTY ROAD 507",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857845",
            "telephone_number": "352-873-9311",
            "fax_number": "352-873-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA EYE SURGERY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCALA EYE SURGERY CENTER INC",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HOTALING",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "352-873-9311"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocala Eye Surgery Center at Wildwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.