NPIMap

Organization Active NPI

Florida Eye Clinic P a

  • Optometrist
  • Windermere, FL
National Provider Identifier
1811961584
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FLORIDA EYE CLINIC P A
Practice address
2875 Maguire Rd
Windermere, FL 34786-6057
Phone
(407) 299-8300
Fax
(407) 295-8742
NPI assigned
Feb 17, 2006
Organization subpart
Yes
Parent organization
FLORIDA EYE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Gen Parm
Title
Administrator
Phone
(407) 834-7776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2875 Maguire Rd
Windermere, FL 34786-6057

Mailing address

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 339-0303

Other identifiers 1

IdentifierTypeStateIssuer
208488106MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040126000005 FL Part B Supplier - Clinic/Group Practice 6406758846 Receives reassigned benefits from 37 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Springs, FL; Windermere, FL; Ormond Beach, FL; Orlando, FL; Orange City, FL; Ocoee, FL; Kissimmee, FL; Clermont, FL…
O20100930026662 FL DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 6406758846 Practice locations: Windermere, FL

National Provider Directory

National Provider Directory
Part of
Thomas D Mauger OD

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 25

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

View all 25

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Florida Eye Clinic, PA2875 Maguire Rd, Windermere, FL 34786-6057(407) 299-8300 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2002

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1811961584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014706",
            "telephone_number": "407-339-0303",
            "fax_number": "407-339-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 MAGUIRE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866057",
            "telephone_number": "407-299-8300",
            "fax_number": "407-295-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CLINIC P A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA EYE CLINIC",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "PARM",
        "authorized_official_first_name": "GEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-834-7776"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208488106",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.