Active NPI
Premier Eye Care of Florida LLC
- Exclusive Provider Organization
- Coral Gables, FL
National Provider Identifier
1932363934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- PREMIER EYE CARE OF FLORIDA LLC
- Practice address
- 4565 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-1855 - Phone
- (561) 455-9002
- NPI assigned
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Panos
- Title
- Coo
- Phone
- (561) 455-9002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
4565 Ponce de Leon Blvd Ste 200
Coral Gables, FL 33146-1855
Mailing address
PO Box 980216
West Sacramento, CA 95798-0216
Phone (561) 455-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125168900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6501 Park of Commerce Blvd
Fl First
Boca Raton, FL 33487
4565 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33146
Phone (561) 455-9002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1932363934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980216",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "957980216",
"telephone_number": "561-455-9002",
"fax_number": "800-523-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 PONCE DE LEON BLVD STE 200",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461855",
"telephone_number": "561-455-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EYE CARE OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-18",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "PANOS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "561-455-9002"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125168900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
- Hannah Brooke Precour
- Preferred Medical Plan
- Premier Anesthesia Partners, LLC
- Premier Athletic Rehab Center LLC
- Premier Billing, Inc
- Premier Physical Therapy LLC (Physical Therapy Now Coral Gables)
- Premise Health of Florida Medical PA (NEE Health And WellBeing)
- Milka T Premrl Rodriguez, L.M.T.,N.C.T.M.B.
- Presalud Medical Center Inc
- Rachel Shannon Press, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.