Individual provider Active NPI

Lenka S Champion, M.D.

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1841263217
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME91805 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 1503
Jacksonville, FL 32216-6298
Phone
(904) 903-4068
Fax
(904) 900-5347
NPI assigned
Feb 8, 2006
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME91805 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 1503
Jacksonville, FL 32216-6298

Mailing address

6817 Southpoint Pkwy Ste 1503
Jacksonville, FL 32216-6298
Phone (904) 903-4068

Other names 1

  • Lenka S Champion Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000358 FL Practitioner - Ophthalmology 8820017965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Eye IncGroup PAC ID 3971910456, 2 clinicians

Practice addresses (Care Compare)

6816 Southpoint Pkwy
BLDG 100
Jacksonville, FL 32216-1700
Phone (904) 903-4068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Eye Inc Ophthalmology CurrentSince Feb 25, 2021 Accepting new patients
Southpoint Surgery Center, LLC Past Accepting new patients

Locations

13241 Bartram Park Blvd
Unit 809
Jacksonville, FL 32258
Phone (904) 201-9887

6816 Southpoint Pkwy
Bldg 100
Jacksonville, FL 32216
Phone (904) 903-4068

6817 Southpoint Pkwy
Ste 1503
Jacksonville, FL 32216
Phone (904) 574-4095

1909 Beach Blvd
Ste 101
Jax Bch, FL 32250
Phone (904) 247-5575

Interoperability endpoints

  • Direct secure messaging: lenka.champion.p3@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: lenka.champion@1038.chartlogic.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1841263217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-903-4068",
            "fax_number": "904-900-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-903-4068",
            "fax_number": "904-900-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "LENKA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-10-22",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME91805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENKA",
            "last_name": "CHAMPION",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.