North Florida Eye Center PA

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OPC 4437 Issued in FL

Legal business name

NORTH FLORIDA EYE CENTER PA

Practice address

410 N Main St
Suite 6
Chiefland, FL 32626-0866

Phone

(352) 493-2634

Fax

(352) 493-2517

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maher M Fanous, MDNPI 1912175480

Title

Owner

Phone

(352) 331-7337

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• North Florida Eye Center PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1871587402

  O20101210000788

  Same enrollment

Tax ID family

North Florida Eye Center2 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.

• North Florida Eye Center PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1871587402
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15944/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Maher M Fanous, MD

  • Specialist
  • Gainesville, FL
  • NPI 1912175480
  NPD Authorized official
• Linda D Azwell, OD

  • Optometrist
  • Dunnellon, FL
  • NPI 1407083603
  NPD
• Stephanie Rowe, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1225126022
  NPD
• Jack Rubin, O.D.

  • Corneal and Contact Management Optometrist
  • Jacksonville, FL
  • NPI 1982817193
  NPD
• Brenda E Rosado Gonzalez, O.D., MBA

  • Optometrist
  • Commerce, GA
  • NPI 1588095319
  NPD

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1699081067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260866",
            "telephone_number": "352-493-2634",
            "fax_number": "352-493-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260866",
            "telephone_number": "352-493-2634",
            "fax_number": "352-493-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "FANOUS",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-331-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "OPC 4437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "49379",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257002500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nature Coast Rehabilitation Inc
• New Day Wellness LLC
• New Day Wellness, LLC
• Nilger Malpartida MD.
• Janisa Renee Noel, APRN
• North Florida Pediatrics PA
• North Florida Pediatrics, PA
• North Florida Pharmacy of Chiefland, Inc (North Florida Pharmacy, Medicine Shoppe 2048)
• Northland Hearing Center, Inc. (U.S. Hearing Solutions)
• Julie Vaughan Noyes, PTA

• Optician in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.