Organization Active NPI

Ophthalmic Partners of Florida PA

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1740387968
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC PARTNERS OF FLORIDA PA
Doing business as
Central Florida Retina
Practice address
3824 Oakwater Cir
Orlando, FL 32806-6263
Phone
(407) 425-7188
Fax
(407) 210-6478
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Maria Shafer
Title
Suvpervisor
Phone
(407) 425-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3824 Oakwater Cir
Orlando, FL 32806-6263

Mailing address

3824 Oakwater Cir
Orlando, FL 32806-6263
Phone (407) 425-7188

Other practice location 1

1121 Miranda Ln
Kissimmee, FL 34741-0763
Phone (407) 425-7188

Other practice location 2

1101 Wellness Way Ste 1415
Oviedo, FL 32765-8243
Phone (407) 425-7188

Other identifiers 2

IdentifierTypeStateIssuer
21111OtherFLBCBS
252486400MedicaidFL

Other names 1

  • Central Florida Retina Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031209000689 FL Part B Supplier - Clinic/Group Practice 5698688182 Receives reassigned benefits from 5 practitioners
Practice locations: Oviedo, FL; Palm Coast, FL; Orlando, FL; New Smyrna Beach, FL; Flagler Beach, FL; Daytona Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2024016Central Florida Retina3824 Oakwater Circle, Orlando, FL 32806Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory

Locations

529 Health Blvd
Daytona Beach, FL 32114
Phone (386) 254-1951

305 E New York Ave
Deland, FL 32724
Phone (386) 734-2931

99 Old Kings Rd S
Ste 1
Flagler Beach, FL 32136

905 N Central Ave
Kissimmee, FL 34741
Phone (407) 847-0113

1121 Miranda Ln
Kissimmee, FL 34741
Phone (407) 425-7188

330 Waymont Ct
Lake Mary, FL 32746
Phone (407) 330-6151

500 Delaney Ave
Ste 301
Orlando, FL 32801
Phone (321) 843-3937

3824 Oakwater Cir
Ste 300
Orlando, FL 32806

44 Lake Beauty Dr
Ste 300
Orlando, FL 32806
Phone (407) 425-7188

44 Lake Beauty Dr
Ste 200
Orlando, FL 32806

1101 Wellness Way
Ste 1415
Oviedo, FL 32765
Phone (407) 425-7188

1000 W Broadway St
Ste 236
Oviedo, FL 32765
Phone (407) 542-0100

8000 Red Bug Lake Rd
Ste 200
Oviedo, FL 32765
Phone (407) 366-6004

741 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 761-6665

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1740387968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-425-7188",
            "fax_number": "074-239-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-425-7188",
            "fax_number": "407-210-6478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Miranda Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347410763",
            "country_code": "US",
            "telephone_number": "407-425-7188",
            "fax_number": "407-423-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Wellness Way Ste 1415",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658243",
            "country_code": "US",
            "telephone_number": "407-425-7188",
            "fax_number": "407-423-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "SUVPERVISOR",
        "authorized_official_telephone_number": "407-425-7188"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21111",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252486400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Retina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Florida Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.

Verify at the official NPI Registry.