Organization Active NPI

Aggarwal Medical Associates PA

Doing business as Eye Clinic

  • Ophthalmology Physician
  • Merritt Island, FL
National Provider Identifier
1962449785
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0036143 Issued in FL
Legal business name
AGGARWAL MEDICAL ASSOCIATES PA
Doing business as
Eye Clinic
Practice address
1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone
(321) 453-3937
Fax
(321) 452-5404
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Steven G Adkins
Title
Office Manager
Phone
(321) 453-3937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME0036143 FL Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME81029 FL
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME71349 FL

Addresses

Primary practice location

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531

Mailing address

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone (321) 453-3937

Other names 1

  • Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041204000035 FL Part B Supplier - Clinic/Group Practice 0840256541 Receives reassigned benefits from 3 practitioners
Practice locations: Melbourne, FL; Merritt Island, FL; Port St John, FL

National Provider Directory

National Provider Directory

Locations

612 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 410-4902

6559 N Wickham Rd
Ste 101C
Melbourne, FL 32940

6559 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 723-3937

232 S Wickham Rd
Melbourne, FL 32904
Phone 32145339375013

1326 Malabar Rd SE
Palm Bay, FL 32907
Phone 32145339375013

8095 Spyglass Hill Rd
Ste 104
Viera, FL 32940
Phone (321) 241-6400

Practitioners & affiliated clinicians

Practitioners 4

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1962449785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "321-452-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "321-452-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGARWAL MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-453-3937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0036143",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME81029",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME71349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.