Organization Active NPI

Orlando Eye Associates

  • Optometrist
  • Orlando, FL
National Provider Identifier
1952581753
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1921 Issued in FL
Legal business name
ORLANDO EYE ASSOCIATES
Practice address
7682 Dr Phillips Blvd
Suite a
Orlando, FL 32819-5152
Phone
(407) 351-3880
Fax
(407) 351-4648
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mrs. Shelly M Oneal
Title
Billing Specialist
Phone
(407) 351-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1921 FL Primary

Addresses

Primary practice location

7682 Dr Phillips Blvd
Suite a
Orlando, FL 32819-5152

Mailing address

7682 Dr Phillips Blvd
Suite a
Orlando, FL 32819-5152
Phone (407) 351-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000790 FL Part B Supplier - Clinic/Group Practice 0840467601 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

7682 Dr Phillips Blvd
Ste A
Orlando, FL 32819
Phone (407) 351-3880

7682 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 351-3880

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1952581753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-351-3880",
            "fax_number": "407-351-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7682 DR PHILLIPS BLVD",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195152",
            "telephone_number": "407-351-3880",
            "fax_number": "407-351-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "407-351-3880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.