Advanced Surgical and Medical Eye Care

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME89546 Issued in FL

Legal business name

ADVANCED SURGICAL AND MEDICAL EYE CARE

Practice address

8784 SE 165TH Mulberry LN
The Villages, FL 32162-5861

Phone

(352) 753-4530

Fax

(352) 259-5862

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Barbara Cardelli

Title

Comptroller

Phone

(352) 753-9888

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• EYES At The Villages Doing business as

Tax ID family

Adv Surgical Medical Eye C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Advanced Surgical and Medical Eye Care P a

  • Ophthalmology Physician
  • Lady Lake, FL
  • NPI 1285670117
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Ellis Miller II, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1245411503
  NPD (past)
• Mamdouh Hassan Zeini, M.D., PH.D

  • Ophthalmology Physician
  • Lady Lake, FL
  • NPI 1184794372
  NPD (past)

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1669650305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BICHARA BLVD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321597714",
            "telephone_number": "352-753-9888",
            "fax_number": "352-753-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8784 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625861",
            "telephone_number": "352-753-4530",
            "fax_number": "352-259-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL AND MEDICAL EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CARDELLI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "352-753-9888"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2612",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0071525",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME89546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1219930002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "K1349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYES At The Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Orthopedics Institute, P.a.
• Advanced Periodontics & Implant Care, LLC
• Advanced Physical Therapy of Central Florida
• Advanced Physical Therapy of Central Florida
• Advanced Physical Therapy of Central Florida, Inc.
• Advanced Surgical and Medical Eye Care P a
• Adventist Health System/ Sunbelt, Inc.
• Ernesto Africano, M.D.
• Felix Chiebonam Agbo, M.D
• Nina Ahmad, MD

• Ophthalmology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.