Active NPI
Florida Eye Clinic P a
- Ophthalmology Physician
- Ocoee, FL
National Provider Identifier
1689649261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
- Last updated
- Jan 3, 2017
- Organization subpart
- Yes
- Parent organization
- FLORIDA EYE CLINIC P A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Pappas
- Title
- Administrator
- Phone
- (407) 834-7776
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208488109 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Ophthalmology | 6406758846 | Practice locations: Ocoee, FL |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Florida Eye Clinic PA | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Robert V Landall PA OD
Locations
10131 W Colonial Dr
Ste 201
Ocoee, FL 34761
Phone (407) 206-2020
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Altamonte Springs, FL
- NPI 1457342560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_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
- Michelle Fisher, RN
- FL Gastroenterology Associates Inc
- FL Golden Adult Care LLC
- Jon-Laurence Michael Fleming
- Florida Autism Center
- Florida Golden Adult Care
- Florida Healthcare Management LLLP (Ocoee Healthcare Center)
- Florida Lung Specialists, PA
- Florida Medical Office LLC
- Florida Pain & Rehabilitation Institute Inc
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.