Gainesville Eye Physicians PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME50649 Issued in FL

Legal business name

GAINESVILLE EYE PHYSICIANS PA

Practice address

6717 NW 11TH PL
Suite a
Gainesville, FL 32605-4236

Phone

(352) 331-7811

Fax

(352) 331-3219

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Kyle C BalchNPI 1376549287

Title

Officer

Phone

(352) 331-7811

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gainesville Eye Physicians PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1437264215

  O20041108001004

  Same enrollment
• North Florida Cataract Specialists and Vision Care LLC

  • Ophthalmology Physician
  • Melrose, FL
  • NPI 1417144668

  O20041108001004

  Same enrollment

Interoperability endpoints

• Direct secure messaging: egrieser@spgain.intellechartdirect.net
• Direct secure messaging: azeglam@spgain.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gainesville Eye Physicians PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1437264215
  NPPES parent name

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle C Balch, MD

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1376549287
  NPD Authorized official
• Maher M Fanous, MD

  • Specialist
  • Gainesville, FL
  • NPI 1912175480
  NPD
• Eric J Grieser, MD

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1407846330
  NPD
• Timothy Alan Quinn, MD

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1962453480
  NPD
• Ahmaida Zeglam, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1518386762
  NPD
• Brenda E Rosado Gonzalez, O.D., MBA

  • Optometrist
  • Commerce, GA
  • NPI 1588095319
  NPD
• Tiffany Kay Monahan, O.D.

  • Optometrist
  • Jupiter, FL
  • NPI 1750311122
  NPD (past)
• Richard W. Wagner, OD

  • Optometrist
  • Chiefland, FL
  • NPI 1689626582
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1992846471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 NW 11TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054236",
            "telephone_number": "352-331-7811",
            "fax_number": "352-331-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 NW 11TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054236",
            "telephone_number": "352-331-7811",
            "fax_number": "352-331-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE EYE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BALCH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "352-331-7811"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME50649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "40221A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Emergency Medical Associates PA
• Gainesville Endocrine & Diabetes Associates PA
• Gainesville ENT and Allergy Associates PA
• Gainesville Eye Care Associates
• Gainesville Eye Physicians PA
• Gainesville Family Healthcare PA
• Gainesville Family Institute
• Gainesville Family Physicians P a
• Gainesville FL Opco LLC
• Gainesville FL Orthopaedic ASC LLC

• Ophthalmology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.