Mid Florida Eye Center, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MID FLORIDA EYE CENTER, PA

Practice address

8630 E County Road 466
Suite a
The Villages, FL 32162-5613

Phone

(352) 735-2020

Fax

(352) 735-5187

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

George L Neal

Title

President

Phone

(469) 214-0144

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 5

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

• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Apopka, FL
  • NPI 1558440354

  O20050924000157

  Same enrollment
• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Leesburg, FL
  • NPI 1700965522

  O20050924000157

  Same enrollment
• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Mount Dora, FL
  • NPI 1710980883

  O20050924000157

  Same enrollment
• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Wildwood, FL
  • NPI 1740729821

  O20050924000157

  Same enrollment
• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Summerfield, FL
  • NPI 1821177643

  O20050924000157

  Same enrollment

Practitioners 1

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

• Keith C Charles, MD

  • Ophthalmology Physician
  • Mount Dora, FL
  • NPI 1255334389
  NPD

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1922434851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E COUNTY ROAD 466",
            "address_2": "SUITE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625613",
            "telephone_number": "352-735-2020",
            "fax_number": "352-735-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376541500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Meyer, MD
• Michael Glick, M.D. P.a.
• Fady Michael
• Alyssa Michalowski, DPT
• Michelle M Zielecki PA
• Manuel R Middleton, D.D.S.
• Eric Richard Mielke
• Ben Miller
• Cassandra Diane Miller
• Justin Daniel Miller, OTR/L

• Ophthalmology Physician in The Villages, FL
• Providers in The Villages, 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 5, 2020; 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.