Organization Active NPI

Central Florida Ophthalmology PLLC

  • Ophthalmology Physician
  • Oviedo, FL
National Provider Identifier
1790480846
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CENTRAL FLORIDA OPHTHALMOLOGY PLLC
Practice address
2984 Alafaya TRL Ste 2020
Oviedo, FL 32765-7628
Phone
(689) 999-4222
Fax
(689) 999-4225
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Jeffrey Golen, MDNPI 1952628075
Title
Physician
Phone
(689) 999-4222

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 Physician 207W00000X NU Primary

Addresses

Primary practice location

2984 Alafaya TRL Ste 2020
Oviedo, FL 32765-7628

Mailing address

2984 Alafaya TRL Ste 2020
Oviedo, FL 32765-7628
Phone (689) 999-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629003773 FL Part B Supplier - Clinic/Group Practice 4082073630 Receives reassigned benefits from 1 practitioner
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

2984 Alafaya Trl
Ste 2020
Oviedo, FL 32765
Phone (407) 278-2401

Practitioners & affiliated clinicians

Practitioners 1

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1790480846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 ALAFAYA TRL STE 2020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657628",
            "telephone_number": "689-999-4222",
            "fax_number": "689-999-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 ALAFAYA TRL STE 2020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657628",
            "telephone_number": "689-999-4222",
            "fax_number": "689-999-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "GOLEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "689-999-4222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.