Organization Active NPI

Eyemax Vision Center, LLC

  • Corneal and Contact Management Optometrist
  • Tavares, FL
National Provider Identifier
1679865596
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
EYEMAX VISION CENTER, LLC
Practice address
2146 Vindale Rd
Tavares, FL 32778-5602
Phone
(352) 401-1919
Fax
(352) 401-3539
NPI assigned
May 11, 2011
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Vishnu Patlola Reddy, M.D.NPI 1184617938
Title
Owner
Phone
(352) 401-1919

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
Corneal and Contact Management Optometrist 152WC0802X FL Primary

Addresses

Primary practice location

2146 Vindale Rd
Tavares, FL 32778-5602

Mailing address

316 SE 12TH St Ste 200
Ocala, FL 34471-3774
Phone (352) 401-1919

National Provider Directory

National Provider Directory

Locations

2142 Vindale Rd
Tavares, FL 32778
Phone (352) 742-2142

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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1679865596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SE 12TH ST STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713774",
            "telephone_number": "352-401-1919",
            "fax_number": "352-401-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 VINDALE RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785602",
            "telephone_number": "352-401-1919",
            "fax_number": "352-401-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAX VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_middle_name": "PATLOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-401-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.