Organization Active NPI

Orlando Ophthalmology Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Orlando, FL
National Provider Identifier
1811932916
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1151 Issued in FL
Legal business name
ORLANDO OPHTHALMOLOGY SURGERY CENTER LLC
Practice address
105 Bonnie Loch CT
Orlando, FL 32806-2909
Phone
(407) 428-0040
Fax
(407) 428-0045
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Ms. Ruth A Meyers
Title
Administrator
Phone
(407) 428-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1151 FL Primary

Addresses

Primary practice location

105 Bonnie Loch CT
Orlando, FL 32806-2909

Mailing address

105 Bonnie Loch CT
Orlando, FL 32806-2909
Phone (407) 428-0040

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1000427Orlando Ophthalmology Surgery Center105 Bonnie Loch CT, Orlando, FL 32806Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

105 Bonnie Loch Ct
Orlando, FL 32806
Phone (407) 428-0040

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1811932916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BONNIE LOCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062909",
            "telephone_number": "407-428-0040",
            "fax_number": "407-428-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BONNIE LOCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062909",
            "telephone_number": "407-428-0040",
            "fax_number": "407-428-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO OPHTHALMOLOGY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-428-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.