FLORIDA EYE CONSULTANTS INC (NPI# 1962416511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962416511 |
| Entity Type | Organization |
| Organization Name | FLORIDA EYE CONSULTANTS INC |
| Other Organization Name | THE EYE INSTITUTE |
| Practice Address |
1995 W Nasa Blvd Suite 200 Melbourne FL 32904-2300 |
| Practice Telephone | 3217224443 |
| Practice Fax Number | 3217222334 |
| Mailing Telephone | 3217224443 |
| Mailing Fax Number | 3217222334 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MS. VIOLET M FAVERO (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 3217224443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS FL | 21125 | 01 |
| FL | 255267100 | 05 |
| Other Name | Type Code |
|---|---|
| The Eye Institute | Doing Business As Name - Organization |
| Street Address |
1995 W NASA BLVD SUITE 200 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514053 | James N Mcmanus | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
| 1194158337 | Eric Robert Straut | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2013-08-12 |
| 1396080859 | Kyle E. Welton | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2012-12-10 |
| 1134459928 | The Center for Hearing Improvement At The Eye Institute | Hearing Instrument Specialist | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2009-12-30 |
| 1518054956 | Eyewearllc | Eyewear Supplier (Equipment, not the service) | 1995 W Nasa Blvd, Suite 101, Melbourne, FL 32904-2300 | 2006-10-06 |
| 1114037520 | Judy Lynn Buse | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-08-30 |
| 1013027408 | David Mccurdy | Clinic/Center | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2006-08-30 |
| 1548274061 | Eye Institute Surgery Center, LLC | Clinic/Center | 1995 W Nasa Blvd, Suite100, Melbourne, FL 32904-2300 | 2006-07-28 |
| 1720079577 | Michael N Mandese | Optometrist | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-11-01 |
| 1073504957 | Christopher S Shumake | Ophthalmology | 1995 W Nasa Blvd, Suite 200, Melbourne, FL 32904-2300 | 2005-10-31 |
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|---|---|---|---|---|
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| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.