Individual provider Active NPI

Vijayan Nair, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1740352343
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3374 Issued in FL
Practice address
448 S Alafaya TRL
Suite 7
Orlando, FL 32828-8974
Phone
(407) 382-6011
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3374 FL Primary

Addresses

Primary practice location

448 S Alafaya TRL
Suite 7
Orlando, FL 32828-8974

Mailing address

4620 Atwood Dr
Orlando, FL 32828-6495
Phone (407) 382-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000903 FL Practitioner - Optometry 0244229169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

448 S Alafaya TRL
Suite 7
Orlando, FL 32828-8998
Phone (407) 382-6011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3374FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Jul 26, 2022 Accepting new patients

Locations

4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991

448 S Alafaya Trl
Ste 7
Orlando, FL 32828
Phone (407) 382-6011

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1740352343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 ATWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286495",
            "telephone_number": "407-382-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S ALAFAYA TRL",
            "address_2": "SUITE 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288974",
            "telephone_number": "407-382-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "VIJAYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.