Organization Active NPI

Omar Kazi, MD, Ophthalmology Associates, PA

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1790267607
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OMAR KAZI, MD, OPHTHALMOLOGY ASSOCIATES, PA
Practice address
2822 S Alafaya TRL Ste 150
Orlando, FL 32828-7972
Phone
(321) 271-4641
Fax
(321) 676-8469
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Omar Kazi, MDNPI 1831134071
Title
President
Phone
(321) 271-4641

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2822 S Alafaya TRL Ste 150
Orlando, FL 32828-7972

Mailing address

1237 Hasley PL
Melbourne, FL 32940-6020
Phone (321) 271-4641

Other names 1

  • Central Florida Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190405001629 FL Part B Supplier - Clinic/Group Practice 6901147693 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

2822 S Alafaya Trl
Ste 150
Orlando, FL 32828
Phone (407) 674-7333

835 Executive Ln
Ste 136
Rockledge, FL 32955
Phone (321) 633-0324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1790267607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 HASLEY PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406020",
            "telephone_number": "321-271-4641",
            "fax_number": "321-676-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 S ALAFAYA TRL STE 150",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287972",
            "telephone_number": "321-271-4641",
            "fax_number": "321-676-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR KAZI, MD, OPHTHALMOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-271-4641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.