NPIMap

Organization Active NPI

Florida Eye Clinic P a

  • Ophthalmology Physician
  • Ocoee, FL
National Provider Identifier
1689649261
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FLORIDA EYE CLINIC P A
Practice address
10131 W. Colonial Dr.
#201
Ocoee, FL 34761-4210
Phone
(407) 206-2020
Fax
(407) 206-0127
NPI assigned
Feb 17, 2006
Organization subpart
Yes
Parent organization
FLORIDA EYE CLINIC P AAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Harry PappasNPI 1457342560
Title
Administrator
Phone
(407) 834-7776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 25

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

View all 25

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Florida Eye Clinic PA10131 W Colonial Dr, Ocoee, FL 34761-4210(407) 206-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040126000005 FL Part B Supplier - Clinic/Group Practice 6406758846 Receives reassigned benefits from 37 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Springs, FL; Windermere, FL; Ormond Beach, FL; Orlando, FL; Orange City, FL; Ocoee, FL; Kissimmee, FL; Clermont, FL…
O20100930039252 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 6406758846 Practice locations: Ocoee, FL

National Provider Directory

National Provider Directory
Part of
Thomas D Mauger OD

Locations

10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

NPPES NPI Registry

Primary practice location

10131 W. Colonial Dr.
#201
Ocoee, FL 34761-4210

Mailing address

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 339-0303

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
208488109MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2017.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1689649261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014706",
            "telephone_number": "407-339-0303",
            "fax_number": "407-339-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W. COLONIAL DR.",
            "address_2": "#201",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614210",
            "telephone_number": "407-206-2020",
            "fax_number": "407-206-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CLINIC P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA EYE CLINIC P A",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-834-7776"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208488109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.