Individual provider Active NPI

Michael P Imler, M.D.

  • Ophthalmology Physician
  • Winter Garden, FL
National Provider Identifier
1760458939
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME84970 Issued in FL
Practice address
1291 Winter Garden Vineland Rd Ste 130
Winter Garden, FL 34787-6705
Phone
(407) 501-7100
Fax
(407) 501-7200
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME84970 FL Primary

Addresses

Primary practice location

1291 Winter Garden Vineland Rd Ste 130
Winter Garden, FL 34787-6705

Mailing address

1291 Winter Garden Vineland Rd Ste 130
Winter Garden, FL 34787-6705
Phone (407) 501-7100

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331002815 FL Practitioner - Ophthalmology 0648261222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1291 Winter Garden Vineland Rd
Suite 130
Winter Garden, FL 34787-6705
Phone (407) 501-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME84970FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiermed Ophthalmology, LLC Ophthalmology CurrentSince Jan 16, 2022 Accepting new patients
Imler Vision Centers, LLC Current Accepting new patients
KSB Medical Group, Inc. Past Accepting new patients
KSB Medical Group, Inc. Ophthalmology Past Accepting new patients

Locations

1291 Winter Garden Vineland Rd
Ste 130
Winter Garden, FL 34787
Phone (407) 501-7100

4857 Manhattan Dr
Rockford, IL 61108
Phone (815) 399-0599

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1760458939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 WINTER GARDEN VINELAND RD STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876705",
            "telephone_number": "407-501-7100",
            "fax_number": "407-501-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 WINTER GARDEN VINELAND RD STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876705",
            "telephone_number": "407-501-7100",
            "fax_number": "407-501-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMLER",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME84970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.