Active NPI
Bayhead Eye Centre
- Optometrist
- Sanford, FL
National Provider Identifier
1700807682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPL1438
- Legal business name
- BAYHEAD EYE CENTRE
- Practice address
- 820 W Lake Mary Blvd
Suite # 104
Sanford, FL 32773-5946 - Phone
- (407) 322-2230
- Fax
- (407) 330-6287
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mona Patel, O.D.
- Title
- Owner/President
- Phone
- (407) 322-2230
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPL1438 | FL | Primary |
Addresses
Primary practice location
820 W Lake Mary Blvd
Suite # 104
Sanford, FL 32773-5946
Mailing address
820 W Lake Mary Blvd
Suite # 104
Sanford, FL 32773-5946
Phone (407) 322-2230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078034100 | Medicaid | FL | |
| OPL1438 | Other | FL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
820 W Lake Mary Blvd
Ste 104
Sanford, FL 32773
Phone (407) 322-2230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sanford, FL
- NPI 1487713566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1700807682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W LAKE MARY BLVD",
"address_2": "SUITE # 104",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735946",
"telephone_number": "407-322-2230",
"fax_number": "407-330-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W LAKE MARY BLVD",
"address_2": "SUITE # 104",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735946",
"telephone_number": "407-322-2230",
"fax_number": "407-330-6287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYHEAD EYE CENTRE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MONA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "407-322-2230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPL1438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078034100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OPL1438",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.