NPIMap

Organization Active NPI

St Cloud Eye Center Inc

  • Ophthalmology Physician
  • Saint Cloud, FL
National Provider Identifier
1922632066
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ST CLOUD EYE CENTER INC
Doing business as
Eye Florida
Practice address
1330 Budinger Ave Ste 200
Saint Cloud, FL 34769-4137
Phone
(407) 891-2010
NPI assigned
Feb 27, 2020
Organization subpart
Yes
Parent organization
ST CLOUD EYE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Ly Thi NguyenNPI 1942237193
Title
Ceo
Phone
(407) 891-2010

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 MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 200
Saint Cloud, FL 34769-4137

Mailing address

4589 H C Yates LN
Saint Cloud, FL 34769-6764
Phone (407) 891-2010

Other practice location 1

1121 Miranda Ln
Kissimmee, FL 34741-0763
Phone (407) 891-2010

Other practice location 2

4589 Henry C Yates Lane
saint cloud, FL 34769-3476
Phone (561) 906-7908

Other names 1

  • Eye Florida Doing business as

National Provider Directory

National Provider Directory
Part of
St Cloud Eye Center Inc

Locations

1330 Budinger Ave
Ste 200
Saint Cloud, FL 34769

Practitioners & affiliated clinicians

Practitioners 2

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": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1922632066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 H C YATES LN",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696764",
            "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": "1330 BUDINGER AVE STE 200",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694137",
            "telephone_number": "407-891-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Miranda Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347410763",
            "country_code": "US",
            "telephone_number": "407-891-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4589 Henry C Yates Lane",
            "address_purpose": "LOCATION",
            "city": "saint cloud",
            "state": "FL",
            "postal_code": "347693476",
            "country_code": "US",
            "telephone_number": "561-906-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST CLOUD EYE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLOUD EYE CENTER INC",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-891-2010"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.