Orlando North Eye Clinic, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ORLANDO NORTH EYE CLINIC, LLC

Practice address

3300 W Lake Mary Blvd Ste 210
Lake Mary, FL 32746-3499

Phone

(407) 431-0580

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Aly Reza Sheraly, MDNPI 1770715484

Title

Owner

Phone

(407) 431-0580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: asheraly@onec.intellechartdirect.net

Practitioners 4

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

• Aly Reza Sheraly, MD

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1770715484
  Medicare reassignment NPD Authorized official
• Tracy L Burney, M.D.

  • Urology Physician
  • Rockledge, FL
  • NPI 1982795985
  NPD (past)
• William Martin Malone, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1821040619
  NPD (past)
• Rajendra Fernando Sawh-Martinez, M.D., M.H.S.

  • Plastic Surgery Physician
  • Orlando, FL
  • NPI 1235420886
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1942945951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD STE 210",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463499",
            "telephone_number": "321-234-7424",
            "fax_number": "866-388-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD STE 210",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463499",
            "telephone_number": "407-431-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO NORTH EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "SHERALY",
        "authorized_official_first_name": "ALY",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-431-0580",
        "authorized_official_credential": "MD"
    },
    "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": "103596500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Center for Advanced Plastic Surgery, LLC
• Orlando Foot and Ankle Clinic, Inc
• Orlando Health Inc
• Orlando Health Inc.
• Orlando Health Physician Partners Inc
• Orlando Orthopaedic Center MD PA
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC
• Orlando Physicians Network Inc
• Orlando Physicians Network Inc

• Ophthalmology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.