NPIMap

Organization Active NPI

Qing Ge

Doing business as Premier Eye Clinic, P. A.

  • Clinic/Center
  • Port Orange, FL
National Provider Identifier
1982898219
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME 96155 Issued in FL
Legal business name
QING GE
Doing business as
Premier Eye Clinic, P. A.
Practice address
1515 Herbert St
Suite 208
Port Orange, FL 32129-6104
Phone
(386) 788-6198
Fax
(386) 788-4616
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Qing Ge, M.D., PH.D.NPI 1225053192
Title
Owner/Director
Phone
(386) 788-6198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME 96155 FL Primary

Addresses

Primary practice location

1515 Herbert St
Suite 208
Port Orange, FL 32129-6104

Mailing address

1515 Herbert St
Suite 208
Port Orange, FL 32129-6104
Phone (386) 788-6198

Other names 1

  • Premier Eye Clinic, P. A. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1982898219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERBERT ST",
            "address_2": "SUITE 208",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296104",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERBERT ST",
            "address_2": "SUITE 208",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296104",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QING GE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "GE",
        "authorized_official_first_name": "QING",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "386-788-6198",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 96155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Eye Clinic, P. A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.