Pennachio & Fishman M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PENNACHIO & FISHMAN M.D., P.A.

Practice address

1100 S Grove St
Eustis, FL 32726-5524

Phone

(352) 589-5162

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Pennachio

Title

MD

Phone

(352) 589-5162

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811108236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265524",
            "telephone_number": "352-589-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S GROVE ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265524",
            "telephone_number": "352-589-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNACHIO & FISHMAN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNACHIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-589-5162"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.