Central Florida Eye Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS-0006614 Issued in FL

Legal business name

CENTRAL FLORIDA EYE CARE LLC

Practice address

122 E Central Ave
Winter Haven, FL 33880-6308

Phone

(863) 294-2332

Fax

(863) 294-2334

NPI assigned

May 10, 2007

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Evan Klein, D.O.

Title

Managing Partner

Phone

(863) 294-2332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JMS Enterprises LLC Former legal business name

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1760696207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KENILWORTH TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033902",
            "telephone_number": "863-294-2332",
            "fax_number": "863-294-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806308",
            "telephone_number": "863-294-2332",
            "fax_number": "863-294-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "863-294-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS-0006614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG7963",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMS Enterprises LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.