North Florida Eye Center PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME78921 Issued in FL

Legal business name

NORTH FLORIDA EYE CENTER PA

Practice address

6831 NW 11TH PL
Suite 1
Gainesville, FL 32605-4259

Phone

(352) 331-7337

Fax

(352) 331-7552

NPI assigned

Sep 9, 2005

Last updated

Feb 18, 2008By 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

Maher M Fanous, MDNPI 1912175480

Title

Owner

Phone

(352) 331-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• North Florida Eye Center PA

  • Optician
  • Chiefland, FL
  • NPI 1699081067

  O20101210000788

  Same enrollment

Tax ID family

North Florida Eye Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Florida Eye Center PA

  • Optician
  • Chiefland, FL
  • NPI 1699081067
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maher M Fanous, MD

  • Specialist
  • Gainesville, FL
  • NPI 1912175480
  Medicare reassignment NPD Authorized official
• Linda D Azwell, OD

  • Optometrist
  • Dunnellon, FL
  • NPI 1407083603
  Medicare reassignment NPD
• Stephanie Rowe, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1225126022
  Medicare reassignment NPD
• Jack Rubin, O.D.

  • Corneal and Contact Management Optometrist
  • Jacksonville, FL
  • NPI 1982817193
  Medicare reassignment NPD
• Brenda E Rosado Gonzalez, O.D., MBA

  • Optometrist
  • Commerce, GA
  • NPI 1588095319

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1871587402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NW 11TH PL",
            "address_2": "SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054259",
            "telephone_number": "352-331-7337",
            "fax_number": "352-331-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NW 11TH PL",
            "address_2": "SUITE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054259",
            "telephone_number": "352-331-7337",
            "fax_number": "352-331-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "FANOUS",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-331-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME78921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Central Florida Hospice, Inc. (Haven Hospice)
• North Central Medical Corporation Inc (Diabetic Solutions Inc)
• North Florida Cancer Institute PA
• North Florida Cataract Specialists and Vision Care LLC
• North Florida Chiropractic Center PA
• North Florida Foot & Ankle Specialists LLC
• North Florida Foot and Ankle Associates PC
• North Florida Gi Center LTD (HCA Florida North Florida Endoscopy Center)
• North Florida Health Care Associates LLC (North Florida Rehabilitation and Specialty Care)
• North Florida Hearing Solutions Inc

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

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