Organization Active NPI

Volusia Eye Associates, LLC

  • Specialist
  • New Smyrna Beach, FL
National Provider Identifier
1710381405
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME115506 Issued in FL
Legal business name
VOLUSIA EYE ASSOCIATES, LLC
Practice address
415 N Causeway
New Smyrna Beach, FL 32169-5235
Phone
(386) 427-4143
Fax
(386) 427-0711
NPI assigned
Oct 9, 2014
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Robert H Routh, MDNPI 1992932776
Title
Owner
Phone
(386) 427-4143

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)CodeLicenseStatePrimary
Specialist 174400000X ME115506 FL Primary

Addresses

Primary practice location

415 N Causeway
New Smyrna Beach, FL 32169-5235

Mailing address

415 N Causeway
New Smyrna Beach, FL 32169-5235
Phone (386) 427-4143

Other practice location 1

602 W Indian River Blvd Ste 1
Edgewater, FL 32132-3500
Phone (386) 402-7328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150113002000 FL Part B Supplier - Clinic/Group Practice 9931423373 Receives reassigned benefits from 4 practitioners
Practice locations: Edgewater, FL; New Smyrna Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Volusia Eye Associates LLC2 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.

Locations

602 W Indian River Blvd
Edgewater, FL 32132

602 W Indian River Blvd
Ste 1
Edgewater, FL 32132
Phone (386) 402-7328

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1710381405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695235",
            "telephone_number": "386-427-4143",
            "fax_number": "386-427-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695235",
            "telephone_number": "386-427-4143",
            "fax_number": "386-427-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 W Indian River Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "FL",
            "postal_code": "321323500",
            "country_code": "US",
            "telephone_number": "386-402-7328",
            "fax_number": "386-410-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VOLUSIA EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "ROUTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-427-4143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME115506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.