Active NPI
Central Florida Eye Center, PA
- Optometrist
- Eustis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CENTRAL FLORIDA EYE CENTER, PA
- Practice address
- 2303 S Bay St
Eustis, FL 32726-6360 - Phone
- (352) 357-1027
- NPI assigned
- Jun 30, 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
- Kristine Verkaik, O.D.
- Title
- Optometrist
- Phone
- (352) 357-1027
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 | Primary |
Addresses
Primary practice location
2303 S Bay St
Eustis, FL 32726-6360
Mailing address
2303 S Bay St
Eustis, FL 32726-6360
Phone (352) 357-1027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620576300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2297736 | Central Florida Eye Center, PA | Certificate of waiver | Jan 21, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Central Florida Eye Center P a | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2303 S Bay St
Eustis, FL 32726
Phone (352) 357-1027
Interoperability endpoints
- drrios@centralfloridaeyecenter.eyefinity-direct.com
- drglass@centralfloridaeyecenter.eyefinity-direct.com
- drverkaik@centralfloridaeyecenter.eyefinity-direct.com
- lori.helman@centralfloridaeyecenter.eyefinity-direct.com
- drgatson@centralfloridaeyecenter.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Eustis, FL
- NPI 1700814357
-
- Optometrist
- Eustis, FL
- NPI 1790236636
-
- Optometrist
- Eustis, FL
- NPI 1205839396
-
- Optometrist
- Eustis, FL
- NPI 1891710380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1730117391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 S BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266360",
"telephone_number": "352-357-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 S BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266360",
"telephone_number": "352-357-1027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA EYE CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "VERKAIK",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "352-357-1027",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620576300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.