Organization Active NPI

Hamlin Eye Care, LLC

  • Optometrist
  • Winter Garden, FL
National Provider Identifier
1770196131
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAMLIN EYE CARE, LLC
Practice address
15820 Shaddock Drive
Suite 150
Winter Garden, FL 34787
Phone
(407) 798-8485
Fax
(407) 798-8465
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Tejas Dilip Patel, ODNPI 1477004729
Title
Manager
Phone
(352) 406-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

15820 Shaddock Drive
Suite 150
Winter Garden, FL 34787

Mailing address

16556 Olive Hill Dr
Winter Garden, FL 34787-9272
Phone (352) 406-9915

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.hamlineyecare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728003405 FL Part B Supplier - Clinic/Group Practice 1456766112 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Garden, FL

National Provider Directory

National Provider Directory

Locations

15820 Shaddock Dr
Ste 150
Winter Garden, FL 34787
Phone (407) 798-8485

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1770196131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16556 OLIVE HILL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879272",
            "telephone_number": "352-406-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 SHADDOCK DRIVE",
            "address_2": "SUITE 150",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-798-8485",
            "fax_number": "407-798-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLIN EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_middle_name": "DILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-406-9915",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hamlineyecare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "15820 Shaddock Drive",
            "address_2": "Suite 150",
            "city": "Winter Garden",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.