Individual provider Active NPI

Neil E Macali, OD

  • Optometrist
  • Winter Garden, FL
National Provider Identifier
1992786172
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002373 Issued in FL
Practice address
1155 South Vineland Rd
Suite 102
Winter Garden, FL 34787
Phone
(407) 656-3755
Fax
(407) 656-5362
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC002373 FL Primary

Addresses

Primary practice location

1155 South Vineland Rd
Suite 102
Winter Garden, FL 34787

Mailing address

1155 Winter Garden Vineland Rd
Ste 102
Winter Garden, FL 34787-4375
Phone (407) 656-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC002373FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1992786172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WINTER GARDEN VINELAND RD",
            "address_2": "STE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874375",
            "telephone_number": "407-656-3755",
            "fax_number": "407-656-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 SOUTH VINELAND RD",
            "address_2": "SUITE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-656-3755",
            "fax_number": "407-656-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALI",
        "first_name": "NEIL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.