FILUTOWSKI EYE INSTITUTE PA (NPI# 1760557102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760557102 |
| Entity Type | Organization |
| Organization Name | FILUTOWSKI EYE INSTITUTE PA |
| Practice Address |
1070 Greenwood Blvd Lake Mary FL 32746 |
| Mailing Address |
110 Yorktowne Dr Daytona Beach FL 32119-1471 |
| Practice Telephone | 4073335111 |
| Practice Fax Number | 4073332434 |
| Mailing Telephone | 3867886696 |
| Mailing Fax Number | 3867882219 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | KONRAD W FILUTOWSKI (PRESIDENT AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4073335111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | GHI | 0082522 | 01 |
| FL | 0585645-01 | 05 | |
| FL | BCBSFL | 21305 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| 1588735708 | Filutowski Eye Institute Pa | Clinic/Center | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-10 |
| 1134290356 | Filutowski Eye Institute Pa | Clinic/Center | 2295 S Hiawassee Road, Suite 101, Orlando, FL 32835 | 2006-11-10 |
| 1760594279 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Dr, Daytona Beach, FL 32119-1471 | 2006-08-31 |
| Street Address |
1070 GREENWOOD BLVD |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735708 | Filutowski Eye Institute Pa | Clinic/Center | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-10 |
| 1457706723 | Siripong Rojanasthien | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2016-04-25 |
| 1154711513 | Eduardo Alejandro Bustamante Jr. | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2015-01-23 |
| 1164771432 | Valerie Stephanie Best | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2012-09-02 |
| 1871715383 | Angela King Dempsey | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2007-05-03 |
| 1134295744 | Konrad Wladyslaw Filutowski | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-27 |
| 1992876197 | Rima Kristina Klimas | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-11 |
| 1174694376 | Kara Meg Bachus | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1669865218 | Florida Diagnostic Solutions LLC | Clinic/Center | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-03-06 |
| 1619277928 | Reflectx Staffing | Clinic/Center | 400 International Pkwy, Lake Mary, FL 32746-5061 | 2010-11-02 |
| 1437301025 | Envision Physical Therapy, Inc | Clinic/Center | 3577 Lake Emma Rd, 109, Lake Mary, FL 32746-2056 | 2008-10-15 |
| 1215076559 | Integrative Medicine of Lake Mary, Inc | Clinic/Center | 2500 W Lake Mary Blvd, Suite 109, Lake Mary, FL 32746-3501 | 2007-02-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.