Organization Active NPI

Paterson Eye Care Inc

  • Optometrist
  • Leesburg, FL
National Provider Identifier
1801993084
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 004048 Issued in FL
Legal business name
PATERSON EYE CARE INC
Practice address
2501 Citrus Blvd
Leesburg, FL 34748-7204
Phone
(352) 326-3393
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Margarita Kaniaris Paterson, O.D.NPI 1346235512
Title
Optometrist
Phone
(407) 474-2222

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 004048 FL Primary

Addresses

Primary practice location

2501 Citrus Blvd
Leesburg, FL 34748-7204

Mailing address

1149 Deer Lake Cir
Apopka, FL 32712-2940
Phone (407) 474-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000176 FL Part B Supplier - Clinic/Group Practice 8224133095 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orange, FL

National Provider Directory

National Provider Directory

Locations

1590 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 756-1900

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1801993084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 DEER LAKE CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122940",
            "telephone_number": "407-474-2222",
            "fax_number": "407-884-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CITRUS BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487204",
            "telephone_number": "352-326-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "PATERSON",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "KANIARIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-474-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 004048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.