NPIMap

Organization Active NPI

Florida Eye Consultants Inc

Doing business as The Eye Institute

  • Medical Specialty Clinic/Center
  • Melbourne, FL
National Provider Identifier
1962416511
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FLORIDA EYE CONSULTANTS INC
Doing business as
The Eye Institute
Practice address
1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300
Phone
(321) 722-4443
Fax
(321) 722-2334
NPI assigned
Jul 28, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Tara Mitchell
Title
Credentialing Coordinator
Phone
(321) 722-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300

Mailing address

1995 W Nasa Blvd
Suite 200
Melbourne, FL 32904-2300
Phone (321) 722-4443

Other identifiers 2

IdentifierTypeStateIssuer
21125OtherFLBC/BS FL
255267100MedicaidFL

Other names 1

  • The Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000778 FL Part B Supplier - Clinic/Group Practice 3476447368 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL; Titusville, FL; Rockledge, FL; Palm Bay, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2080750Florida Eye Consultants Inc1995 W Nasa Blvd, Melbourne, FL 32904Certificate of waiverJul 13, 2026

National Provider Directory

National Provider Directory

Locations

775 Malabar Rd
Ste 103
Malabar, FL 32950
Phone (321) 724-4448

1995 W Nasa Blvd
Ste 200
Melbourne, FL 32904
Phone (321) 722-4443

2202 S Babcock St
Ste 204
Melbourne, FL 32901
Phone (321) 722-4443

8040 N Wickham Rd
Melbourne, FL 32940
Phone (321) 757-7272

8040 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 757-7276

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1962416511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "address_2": "SUITE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042300",
            "telephone_number": "321-722-4443",
            "fax_number": "321-722-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "address_2": "SUITE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042300",
            "telephone_number": "321-722-4443",
            "fax_number": "321-722-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-722-4443"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "21125",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255267100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.