Active NPI
Jose A Flores Guevara, M.D.
- Ophthalmology Physician
- Saint Cloud, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME135894
- Practice address
- 4589 Henry C. Yates Lane
Saint Cloud, FL 34769 - Phone
- (407) 891-2010
- Fax
- (407) 891-8211
- NPI assigned
- Jul 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11435 | PR | |
| Ophthalmology Physician | 207W00000X | ME135894 | FL | Primary |
Addresses
Primary practice location
4589 Henry C. Yates Lane
Saint Cloud, FL 34769
Mailing address
4589 Henry C. Yates LN
Saint Cloud, FL 34769
Phone (407) 891-2010
Other practice location 1
1121 Miranda Lane
Kissimmee, FL 34741
Phone (407) 530-5977
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135894 | FL | MD | Ophthalmology Physician |
| 11435 | PR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Cloud Eye Center Inc | Ophthalmology | Current | Accepting new patients |
| St Cloud Eye Center Inc | Ophthalmology | Current | Accepting new patients |
| Crystal River Eye Center,LLC | Ophthalmology | Current | Accepting new patients |
| St. Cloud Eye Center, Inc | Ophthalmology | Past | Accepting new patients |
Locations
295 SE US Highway 19
Crystal River, FL 34429
Phone (352) 795-6622
1121 Miranda Ln
Kissimmee, FL 34741
Phone (407) 425-7188
60 SW 17th St
Ocala, FL 34471
Phone (352) 482-0305
4691 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 271-3430
1330 Budinger Ave
Ste 200
Saint Cloud, FL 34769
4589 H C Yates Ln
Saint Cloud, FL 34769
Phone (407) 329-7701
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Crystal River, FL
- NPI 1619119948
-
- Ophthalmology Physician
- St Cloud, FL
- NPI 1457509531
-
- Ophthalmology Physician
- Saint Cloud, FL
- NPI 1922632066
-
- Ophthalmology Physician
- Saint Cloud, FL
- NPI 1518352210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1922006337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4589 HENRY C. YATES LN",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "34769",
"telephone_number": "407-891-2010",
"fax_number": "407-891-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4589 HENRY C. YATES LANE",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "34769",
"telephone_number": "407-891-2010",
"fax_number": "407-891-8211"
}
],
"practiceLocations": [
{
"address_1": "1121 Miranda Lane",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "34741",
"country_code": "US",
"telephone_number": "407-530-5977",
"fax_number": "407-891-8211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES GUEVARA",
"first_name": "JOSE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "11435",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME135894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.