Organization Active NPI

Winslow Retina & Vision Center, Inc.

  • Ophthalmology Physician
  • Melbourne, FL
National Provider Identifier
1922358100
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME91061 Issued in FL
Legal business name
WINSLOW RETINA & VISION CENTER, INC.
Practice address
1649 W Eau Gallie Blvd
Suite 201
Melbourne, FL 32935-4160
Phone
(321) 622-5650
Fax
(321) 622-5645
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Paul Winslow, M.D.NPI 1043261506
Title
Director
Phone
(321) 622-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME91061 FL Primary

Addresses

Primary practice location

1649 W Eau Gallie Blvd
Suite 201
Melbourne, FL 32935-4160

Mailing address

1649 W Eau Gallie Blvd
Suite 201
Melbourne, FL 32935-4160
Phone (321) 622-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000362 FL Part B Supplier - Clinic/Group Practice 4284886961 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1922358100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354160",
            "telephone_number": "321-622-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 W EAU GALLIE BLVD",
            "address_2": "SUITE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354160",
            "telephone_number": "321-622-5650",
            "fax_number": "321-622-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW RETINA & VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-622-5650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME91061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.