Central Florida Eye Specialists PL

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRAL FLORIDA EYE SPECIALISTS PL

Doing business as

Pennachio Eye

Practice address

1100 S Grove St
Eustis, FL 32726-5524

Phone

(352) 227-1999

Fax

(352) 227-1001

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Cycle Officer

Phone

(916) 990-7590

Specialties & licenses 3

Addresses

Other names 1

• Pennachio Eye Doing business as

Tax ID family

Central Florida Eye Specialists PL2 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.

• Central Florida Eye Specialists PL

  • Ophthalmology Physician
  • Clermont, FL
  • NPI 1144033473
  NPD tax ID

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1679386908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROSS ST 154-0455 BOX 360579",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152620001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265524",
            "telephone_number": "352-227-1999",
            "fax_number": "352-227-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA EYE SPECIALISTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennachio Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenzi Carson
• Coralymar Casanova
• Jose J Castillo, MD
• Tatiana Cayce, LMFT
• Central Florida Eye Center, PA
• Central Florida Therapy Specialists, Inc.
• Shamaya Chah, LMT
• Mark R Chambers, BCBA
• Nadia Chambers
• Min-Ju Chan, OTR/L

• Ophthalmology Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.