Active NPI
Aly Reza Sheraly, MD
- Ophthalmology Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME118749
- Practice address
- 407 Avenue K SE
Winter Haven, FL 33880-4126 - Phone
- (863) 294-3504
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME118749 | FL | Primary |
Addresses
Primary practice location
407 Avenue K SE
Winter Haven, FL 33880-4126
Mailing address
407 Avenue K SE
Winter Haven, FL 33880-4126
Phone (863) 294-3504
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of Ny Upstate Medical University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 W Lake Mary Blvd
Suite 210
Lake Mary, FL 32746-3499
Phone (321) 234-7424
4414 SW College Rd
Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.15 of 100
- Quality
- 85.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118749 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando North Eye Clinic, LLC | Ophthalmology | Current | Accepting new patients |
| Ocala Eye PA | Ophthalmology | Current | Accepting new patients |
| RSM Plastic Surgery, PA | Past | Accepting new patients | |
| Ocala Eye Optical, Inc | Past | Accepting new patients |
Locations
3300 W Lake Mary Blvd
Ste 210
Lake Mary, FL 32746
Phone (321) 234-7424
4414 SW College Rd
Unit 1462
Ocala, FL 34474
Phone (352) 694-8972
1950 Laurel Manor Dr
Ste 250
The Villages, FL 32162
4508 Warm Springs Ave
Wildwood, FL 34785
Interoperability endpoints
- asheraly@onec.intellechartdirect.net
- alyreza.sheraly.p1@direct.ocalaeye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- aly.sheraly@esmf.direct.eyemdemr.com
- alyreza.sheraly.p2@direct.ocalaeye.nextgenshare.com
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.
-
- Ophthalmology Physician
- Ocala, FL
- NPI 1588656433
-
- Ophthalmology Physician
- Lake Mary, FL
- NPI 1942945951
-
- Eyewear Supplier
- Wildwood, FL
- NPI 1457108748
-
- Plastic Surgery Physician
- Lake Mary, FL
- NPI 1790271096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1770715484",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 AVENUE K SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804126",
"telephone_number": "863-294-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERALY",
"first_name": "ALY",
"middle_name": "REZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME118749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.