Active NPI 1750319331 Individual Practitioner Male Practitioner

Dr. Hetal Dinesh Vaishnav , MD

Ophthalmology • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hetal Vaishnav, MD is a certified Ophthalmology practicing in Melbourne, FL. With approximately 27 years of clinical experience since graduating from Morehouse School Of Medicine in 1999, Dr. Vaishnav delivers high-quality medical care to the local community at 175 E NASA BLVD STE 201.

Dr. Vaishnav is affiliated with Atlantic Retina Consultants and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection, avacincaptad pegol, 0.1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

175 E Nasa Blvd Ste 201

Melbourne, FL 329011998

Telephone 3219997456

Associated Practice Facility / Clinic

🏢 Atlantic Retina Consultants Facility NPI 1649928490

Medicare Profile & Education

Medical School

Morehouse School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -2.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Melbourne, FL (1686 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vaishnav (27 Years) 27 Yrs

Melbourne Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	9,780	39	$45.85	$34.64
92134 Imaging of retina	2,455	1,096	$90.00	$38.69
J2782 Injection, avacincaptad pegol, 0.1 mg	1,640	28	$125.00	$108.48
67028 Injection of drug into eye	1,504	369	$363.93	$121.22
92014 Established patient complete exam of visual system	1,310	976	$175.00	$120.34
J0178 Injection, aflibercept, 1 mg	1,202	126	$1128.74	$829.57
J0177 Injection, aflibercept hd, 1 mg	920	25	$375.00	$331.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	435	$224.83	$125.96
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	555	14	$191.33	$147.92
J3490 Unclassified drugs	503	170	$180.72	$128.67
92133 Imaging of optic nerve	395	335	$90.00	$33.54
92083 Exam of visual field with extended testing	386	346	$100.00	$59.95
92250 Photography of the retina	337	317	$99.85	$33.19
J2778 Injection, ranibizumab, 0.1 mg	334	14	$561.62	$158.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	295	267	$155.00	$55.29
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	294	16	$233.33	$202.32
92235 Exam of retinal blood vessels using a special camera after injection of a dye	224	213	$300.00	$153.11
J7999 Compounded drug, not otherwise classified	201	121	$110.00	$79.97
99213 Established patient office or other outpatient visit, typically 15 minutes	197	168	$175.00	$89.32
92004 New patient complete exam of visual system	155	155	$225.00	$142.46
76512 Ultrasound of eye disease, growth, or structure	75	66	$184.33	$53.87
92020 Examination of cornea and iris using lens device and slit lamp	73	70	$55.00	$26.43
92012 Established patient problem focused exam of visual system	53	52	$175.00	$85.38
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	35	32	$195.00	$118.76
67036 Removal of eye fluid (vitreous) between the lens and retina	29	27	$2648.28	$863.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$250.00	$165.86
67039 Laser destruction of eye fluid (vitreous) between the lens and retina	21	21	$2357.14	$923.22
76514 Ultrasound scan of cornea to determine thickness	17	17	$35.00	$10.62
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	17	17	$193.82	$70.03
92201 Extended exam of the back part of the eye with retinal drawing	12	11	$50.00	$24.08
67041 Removal of membrane from the retina	11	11	$2772.73	$1097.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	6,840	33	$46.17	$36.27
92134 Imaging of retina	2,594	1,087	$90.00	$39.54
67028 Injection of drug into eye	1,646	362	$350.94	$122.36
J0178 Injection, aflibercept, 1 mg	1,480	173	$1129.56	$869.61
92014 Established patient complete exam of visual system	1,312	975	$176.58	$123.40
J3490 Unclassified drugs	777	215	$122.34	$91.39
J2778 Injection, ranibizumab, 0.1 mg	653	31	$484.40	$230.88
92012 Established patient problem focused exam of visual system	639	453	$175.00	$87.81
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	371	20	$230.00	$195.57
92083 Exam of visual field with extended testing	370	339	$100.00	$60.46
92133 Imaging of optic nerve	364	317	$90.00	$34.59
92250 Photography of the retina	358	341	$100.00	$34.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	294	$225.00	$127.86
92235 Exam of retinal blood vessels using a special camera after injection of a dye	254	243	$300.00	$133.10
99213 Established patient office or other outpatient visit, typically 15 minutes	212	183	$175.00	$90.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$250.00	$165.01
76512 Ultrasound of eye disease, growth, or structure	126	93	$175.00	$46.89
J7999 Compounded drug, not otherwise classified	85	70	$110.00	$76.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	48	$155.00	$57.25
92020 Examination of cornea and iris using lens device and slit lamp	46	46	$55.00	$27.18
92004 New patient complete exam of visual system	41	41	$225.00	$147.40
92201 Extended exam of the back part of the eye with retinal drawing	34	33	$50.00	$24.59
67036 Removal of eye fluid (vitreous) between the lens and retina	31	31	$2200.00	$871.71
67039 Laser destruction of eye fluid (vitreous) between the lens and retina	25	25	$1500.00	$943.55
76514 Ultrasound scan of cornea to determine thickness	25	25	$35.00	$10.84
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	21	20	$195.00	$72.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,555	1,047	$90.00	$39.69
67028 Injection of drug into eye	1,716	339	$318.53	$115.50
92014 Established patient complete exam of visual system	1,343	1,022	$175.00	$123.76
J2778 Injection, ranibizumab, 0.1 mg	1,271	44	$468.52	$278.51
92012 Established patient problem focused exam of visual system	1,151	658	$175.00	$87.24
J0178 Injection, aflibercept, 1 mg	1,123	122	$1129.01	$902.38
J3490 Unclassified drugs	913	216	$162.44	$120.84
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	406	21	$230.00	$198.03
92133 Imaging of optic nerve	390	311	$90.00	$34.43
92083 Exam of visual field with extended testing	337	293	$100.00	$60.36
92250 Photography of the retina	251	236	$100.00	$33.96
92235 Exam of retinal blood vessels using a special camera after injection of a dye	184	170	$300.00	$120.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$250.00	$167.70
76512 Ultrasound of eye disease, growth, or structure	83	64	$175.00	$46.15
92020 Examination of cornea and iris using lens device and slit lamp	65	65	$55.00	$27.58
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	23	21	$195.00	$72.66
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$175.00	$90.36
67036 Removal of eye fluid (vitreous) between the lens and retina	21	18	$2200.00	$882.14
76514 Ultrasound scan of cornea to determine thickness	14	14	$35.00	$10.99
67108 Repair of detached retina and drainage of eye fluid between lens and retina	14	13	$3750.00	$1138.20
92201 Extended exam of the back part of the eye with retinal drawing	13	13	$50.00	$24.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,350	1,027	$90.00	$40.69
67028 Injection of drug into eye	1,522	312	$313.01	$117.28
92012 Established patient problem focused exam of visual system	1,244	714	$175.00	$88.96
92014 Established patient complete exam of visual system	1,154	931	$175.06	$125.65
J0178 Injection, aflibercept, 1 mg	1,150	109	$1125.52	$918.89
J2778 Injection, ranibizumab, 0.1 mg	984	44	$482.42	$316.41
J3490 Unclassified drugs	725	177	$110.00	$84.36
92133 Imaging of optic nerve	371	295	$90.00	$35.25
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	336	18	$231.67	$199.90
92083 Exam of visual field with extended testing	318	278	$100.00	$61.75
92250 Photography of the retina	258	246	$100.00	$36.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$250.00	$169.83
92235 Exam of retinal blood vessels using a special camera after injection of a dye	164	157	$300.00	$114.97
92020 Examination of cornea and iris using lens device and slit lamp	87	85	$55.00	$27.87
76512 Ultrasound of eye disease, growth, or structure	75	60	$175.00	$48.59
65855 Laser repair to improve eye fluid flow	49	25	$525.00	$244.37
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$175.00	$92.51
67036 Removal of eye fluid (vitreous) between the lens and retina	22	22	$2200.00	$882.25
92004 New patient complete exam of visual system	21	21	$225.00	$149.75
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	19	19	$195.00	$76.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$155.00	$56.52
66821 Removal of recurring cataract in lens capsule using a laser	18	13	$525.00	$319.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$225.00	$131.56
92201 Extended exam of the back part of the eye with retinal drawing	14	11	$50.00	$25.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,285	956	$90.00	$40.58
J2778 Injection, ranibizumab, 0.1 mg	1,657	67	$469.93	$336.34
67028 Injection of drug into eye	1,592	301	$305.60	$104.04
J0178 Injection, aflibercept, 1 mg	1,208	105	$1125.00	$931.06
92012 Established patient problem focused exam of visual system	1,111	665	$174.92	$87.87
92014 Established patient complete exam of visual system	1,006	837	$175.00	$125.49
J3490 Unclassified drugs	615	163	$80.35	$56.87
92133 Imaging of optic nerve	288	242	$90.00	$35.71
92083 Exam of visual field with extended testing	282	247	$99.96	$62.05
92250 Photography of the retina	269	264	$100.00	$41.42
92235 Exam of retinal blood vessels using a special camera after injection of a dye	199	196	$300.00	$102.68
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	196	17	$230.00	$199.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	171	171	$250.00	$166.62
99213 Established patient office or other outpatient visit, typically 15 minutes	87	73	$175.00	$75.36
76512 Ultrasound of eye disease, growth, or structure	74	61	$179.73	$53.68
92020 Examination of cornea and iris using lens device and slit lamp	61	58	$55.00	$27.31
65855 Laser repair to improve eye fluid flow	35	18	$525.00	$251.12
83861 Microfluid analysis of tears	32	15	$40.00	$22.34
92201 Extended exam of the back part of the eye with retinal drawing	25	22	$50.00	$25.65
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	25	24	$195.00	$74.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$155.00	$45.60
68761 Closure of tear duct opening using plug	14	12	$350.00	$213.09
67036 Removal of eye fluid (vitreous) between the lens and retina	13	12	$2200.00	$882.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$225.00	$109.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	2,373	84	$470.00	$353.43
92134 Imaging of retina	2,255	919	$90.00	$40.58
67028 Injection of drug into eye	1,484	295	$304.09	$103.66
92014 Established patient complete exam of visual system	1,182	923	$175.00	$125.22
92012 Established patient problem focused exam of visual system	975	588	$175.00	$87.20
J0178 Injection, aflibercept, 1 mg	699	87	$1125.00	$941.64
J3490 Unclassified drugs	612	200	$75.00	$48.90
92250 Photography of the retina	377	360	$100.00	$46.19
99213 Established patient office or other outpatient visit, typically 15 minutes	353	264	$175.00	$73.89
92083 Exam of visual field with extended testing	345	293	$100.00	$61.62
92133 Imaging of optic nerve	283	228	$90.00	$35.32
92235 Exam of retinal blood vessels using a special camera after injection of a dye	227	220	$300.00	$90.22
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	224	18	$230.00	$196.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	184	184	$250.00	$164.75
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	95	79	$195.00	$77.74
92020 Examination of cornea and iris using lens device and slit lamp	78	74	$55.00	$27.51
76512 Ultrasound of eye disease, growth, or structure	69	59	$177.54	$59.35
83861 Microfluid analysis of tears	43	21	$40.00	$22.03
92225 Examination of eye by ophthalmoscope with retinal drawing	41	27	$50.00	$27.52
92226 Examination of eye by ophthalmoscope with retinal drawing	35	18	$50.00	$25.39
67820 Removal of eyelashes using forceps	32	28	$84.38	$30.67
67036 Removal of eye fluid (vitreous) between the lens and retina	20	19	$2200.00	$884.03
67145 Photocoagulation treatment to prevent detachment of retina	14	12	$1450.00	$532.17
76514 Ultrasound scan of cornea to determine thickness	14	14	$35.00	$11.36
68761 Closure of tear duct opening using plug	13	11	$309.62	$165.47
92285 Photography of content of eyes	13	12	$75.00	$19.37
67041 Removal of membrane from the retina	11	11	$2500.00	$1061.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	1,987	76	$470.30	$370.72
92134 Imaging of retina	1,736	736	$90.00	$40.57
67028 Injection of drug into eye	1,156	234	$302.08	$102.10
92014 Established patient complete exam of visual system	1,087	830	$175.00	$123.19
92012 Established patient problem focused exam of visual system	867	546	$175.00	$85.58
92250 Photography of the retina	548	510	$100.00	$52.13
99213 Established patient office or other outpatient visit, typically 15 minutes	531	365	$175.00	$71.79
J3490 Unclassified drugs	524	145	$75.00	$49.06
J0178 Injection, aflibercept, 1 mg	382	36	$1125.00	$953.30
92083 Exam of visual field with extended testing	316	264	$100.00	$60.94
92235 Exam of retinal blood vessels using a special camera after injection of a dye	262	246	$300.00	$83.06
92133 Imaging of optic nerve	253	216	$90.00	$35.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$250.00	$163.29
92275 Recording of retinal electrical responses to external stimuli	198	166	$195.00	$144.44
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	189	16	$229.95	$198.17
92225 Examination of eye by ophthalmoscope with retinal drawing	120	72	$50.00	$26.41
92020 Examination of cornea and iris using lens device and slit lamp	114	109	$55.00	$26.40
76512 Ultrasound of eye disease, growth, or structure	110	77	$176.59	$70.50
92226 Examination of eye by ophthalmoscope with retinal drawing	109	52	$50.00	$24.66
83861 Microfluid analysis of tears	64	25	$40.00	$21.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	12	$5.00	$1.69
92285 Photography of content of eyes	46	45	$75.00	$19.34
67210 Laser destruction of retinal growth, 1 or more sessions	43	26	$1750.00	$515.68
67820 Removal of eyelashes using forceps	29	24	$90.52	$41.38
68761 Closure of tear duct opening using plug	25	18	$329.00	$195.86
76514 Ultrasound scan of cornea to determine thickness	23	22	$35.00	$14.56
67145 Photocoagulation treatment to prevent detachment of retina	21	18	$1450.00	$519.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	2,237	79	$481.48	$372.40
92134 Imaging of retina	1,502	623	$91.54	$39.81
92012 Established patient problem focused exam of visual system	1,117	607	$180.57	$83.04
67028 Injection of drug into eye	1,026	190	$309.77	$101.36
92014 Established patient complete exam of visual system	858	595	$179.02	$120.14
92250 Photography of the retina	479	431	$103.92	$63.22
J3490 Unclassified drugs	403	109	$79.04	$49.21
99213 Established patient office or other outpatient visit, typically 15 minutes	289	228	$181.57	$71.47
J0178 Injection, aflibercept, 1 mg	270	33	$1157.22	$962.47
92083 Exam of visual field with extended testing	214	184	$102.90	$60.65
92133 Imaging of optic nerve	195	167	$91.44	$34.70
92235 Exam of retinal blood vessels using a special camera after injection of a dye	184	168	$337.50	$74.87
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	168	15	$235.00	$197.58
92275 Recording of retinal electrical responses to external stimuli	163	135	$200.15	$142.50
92020 Examination of cornea and iris using lens device and slit lamp	132	127	$56.82	$26.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$260.04	$163.29
92226 Examination of eye by ophthalmoscope with retinal drawing	72	38	$53.61	$24.30
76512 Ultrasound of eye disease, growth, or structure	68	56	$179.71	$85.42
92225 Examination of eye by ophthalmoscope with retinal drawing	66	38	$53.33	$26.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	55	$228.86	$105.97
83861 Microfluid analysis of tears	49	21	$40.00	$22.21
92285 Photography of content of eyes	48	48	$78.13	$19.58
67820 Removal of eyelashes using forceps	47	36	$91.81	$47.91
67210 Laser destruction of retinal growth, 1 or more sessions	27	18	$1801.85	$485.33
76514 Ultrasound scan of cornea to determine thickness	22	22	$36.14	$14.16
92004 New patient complete exam of visual system	20	20	$231.00	$145.62
68761 Closure of tear duct opening using plug	18	14	$317.78	$200.26
67036 Removal of eye fluid (vitreous) between the lens and retina	12	11	$2200.00	$870.48

Medical Specialties & State Licenses

CMS Verified: 2024-09-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME89205

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License FL ME89205

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Hospital & Practice Group Affiliations

Atlantic Retina Consultants

175 E Nasa Blvd, Melbourne, FL 329011998

Phone: 3219997456

Secondary Practice Locations

1709 Garden St

Titusville, FL 327965002

Phone: 3219997456

250 N Courtenay Pkwy Ste 101

Merritt Island, FL 329533495

Phone: 3219997456

150 S Woods Dr Ste A

Rockledge, FL 329553262

Phone: 3219997456

5055 Babcock St Ne Ste 6

Palm Bay, FL 329054673

Phone: 3219997456

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Gary Ganiban , MD

Ophthalmology

NPI 1306837281

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location September 10, 2024

Registered at 175 E NASA BLVD STE 201, MELBOURNE, FL 329011998 (Tel: 3219997456)

📍

Updated Business Mailing Address September 10, 2024

Registered at 175 E NASA BLVD STE 201, MELBOURNE, FL 329011998 (Tel: 3219997456)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Ophthalmology (License #ME89205 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2023

Ophthalmology (License #ME89205 in FL)

✅

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2017

Registered at 1995 W. NASA BLVD, SUITE 200, MELBOURNE, FL 329042300 (Tel: 3217224443)

📍

Updated Business Mailing Address April 26, 2017

Registered at 1995 W. NASA BLVD, SUITE 200, MELBOURNE, FL 329042300 (Tel: 3217224443)

👤

Provider Name / Credentials Updated April 26, 2017

Recorded as HETAL VAISHNAV, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Ophthalmology (License #ME89205 in FL)

✅

NPI Profile Active August 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2011

Registered at 1995 W. NASA BLVD, SUITE 200, MELBOURNE, FL 329042300 (Tel: 3217224443)

📍

Updated Business Mailing Address August 11, 2011

Registered at 1995 W. NASA BLVD, SUITE 200, MELBOURNE, FL 329042300 (Tel: 3217224443)

👤

Provider Name / Credentials Updated August 11, 2011

Recorded as HETAL VAISHNAV, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2011

Ophthalmology (License #ME89205 in FL)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750319331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2006

Last Update: September 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

175 E Nasa Blvd Ste 201

Melbourne, FL 329011998

Phone: 3219997456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.