Eye Specialists of Mid Florida, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME32357 Issued in FL

Legal business name

EYE SPECIALISTS OF MID FLORIDA, PA

Practice address

1050 US Highway 27
Suite 1
Clermont, FL 34714-7508

Phone

(352) 394-8705

Fax

(352) 394-2074

NPI assigned

Oct 23, 2009

Organization subpart

Yes

Parent organization

EYE SPECIALISTS OF MID FLORIDA, P.A.As reported in NPPES

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

Authorized official

Name

Daniel Welch, M.D.

Title

President

Phone

(863) 294-3504

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Scott E Klein DO

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1760718936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504",
            "fax_number": "863-294-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 27",
            "address_2": "SUITE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147508",
            "telephone_number": "352-394-8705",
            "fax_number": "352-394-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF MID FLORIDA, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE SPECIALISTS OF MID FLORIDA, P.A.",
        "enumeration_date": "2009-10-23",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-294-3504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME32357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0585110003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Clermont, FL
• Providers in Clermont, 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 27, 2013; 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.