George Brock Magruder Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME56293 Issued in FL

Practice address

120 East Par Street
Suite 2000
Orlando, FL 32804

Phone

(407) 843-5665

Fax

(407) 872-7939

NPI assigned

Nov 1, 2006

Last updated

Jan 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G Brock Magruder Jr MD PA

  dba LaserVue

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1013214261
  Medicare reassignment NPD Authorized official
• Lakeside Surgery LTD

  dba Lakeside Surgery Center

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1043265739
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1932286416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST PAR STREET",
            "address_2": "SUITE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST PAR STREET",
            "address_2": "SUITE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRUDER",
        "first_name": "GEORGE",
        "middle_name": "BROCK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME56293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Mago
• Rebecca Magollo
• Jeiel Jim Magpayo, PTA
• Adonis Magras
• Magruder Eye Institute, PLLC (Advanced Eye Care)
• Marissa E. Magsino, MD
• Sierra Johana Magurczek
• Magyar HC Holdings LLC
• Natasha Mahaise
• Barinder Singh Mahal, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.

Verify at the official NPI Registry.