Active NPI
Florida Eye Clinic P a
- Optometrist
- Winter Springs, FL
National Provider Identifier
1992770176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FLORIDA EYE CLINIC P A
- Practice address
- 5727 Canton CV
#111
Winter Springs, FL 32708-5033 - Phone
- (407) 695-2020
- Fax
- (407) 699-5666
- NPI assigned
- Feb 21, 2006
- Organization subpart
- Yes
- Parent organization
- FLORIDA EYE CLINIC P A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Pappas
- Title
- Administrator
- Phone
- (407) 834-7776
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5727 Canton CV
#111
Winter Springs, FL 32708-5033
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 339-0303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208488107 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000005 | FL | Part B Supplier - Clinic/Group Practice | 6406758846 |
Receives reassigned benefits from 37 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Springs, FL; Windermere, FL; Ormond Beach, FL; Orlando, FL; Orange City, FL; Ocoee, FL; Kissimmee, FL; Clermont, FL… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Florida Eye Clinic P a | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Thomas D Mauger OD
Locations
5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479427200000",
"number": "1992770176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-339-0303",
"fax_number": "407-339-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5727 CANTON CV",
"address_2": "#111",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085033",
"telephone_number": "407-695-2020",
"fax_number": "407-699-5666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA EYE CLINIC P A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA EYE CLINIC P A",
"enumeration_date": "2006-02-21",
"last_updated": "2016-11-18",
"status": "A",
"authorized_official_last_name": "PAPPAS",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-834-7776"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208488107",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.