Active NPI 1376790022 Individual Practitioner Male Practitioner

Dr. Daniel Francis Kiernan , MD

Ophthalmology • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Kiernan, MD is a certified Ophthalmology practicing in Sarasota, FL. With approximately 21 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 2005, Dr. Kiernan delivers high-quality medical care to the local community at 2111 BEE RIDGE RD.

Dr. Kiernan is affiliated with Retina Partners Of Florida and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, aflibercept hd, 1 mg, 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

2111 Bee Ridge Rd

Sarasota, FL 342396104

Telephone 9417922020

Associated Practice Facility / Clinic

🏢 Robert L. Kantor, Md,pa Facility NPI 1013935543

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sarasota, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -6.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Sarasota, FL (1686 Statewide)

Telehealth Adoption Rate

3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kiernan (21 Years) 21 Yrs

Sarasota Specialty Average (27.3 Years) 27.3 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	17,760	102	$83.66	$34.10
J0177 Injection, aflibercept hd, 1 mg	3,816	115	$756.73	$309.75
J2782 Injection, avacincaptad pegol, 0.1 mg	3,200	37	$238.87	$108.05
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	3,030	32	$362.85	$147.64
92134 Imaging of retina	2,284	891	$77.69	$39.32
67028 Injection of drug into eye	1,638	403	$694.06	$129.78
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	1,600	13	$1.64	$0.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,549	836	$253.38	$128.74
J0178 Injection, aflibercept, 1 mg	1,144	144	$1799.68	$821.28
92201 Extended exam of the back part of the eye with retinal drawing	355	341	$64.89	$24.61
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	280	24	$380.86	$202.30
J3590 Unclassified biologics	238	92	$6222.69	$2685.29
92235 Exam of retinal blood vessels using a special camera after injection of a dye	187	177	$228.01	$157.28
92250 Photography of the retina	167	130	$71.49	$35.88
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	164	145	$250.00	$121.80
76512 Ultrasound of eye disease, growth, or structure	157	104	$93.46	$46.76
92014 Established patient complete exam of visual system	154	124	$250.00	$123.05
J2778 Injection, ranibizumab, 0.1 mg	126	15	$487.84	$145.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$252.36	$169.05
99213 Established patient office or other outpatient visit, typically 15 minutes	75	69	$154.53	$91.83
J7999 Compounded drug, not otherwise classified	68	30	$123.76	$76.94
67041 Removal of membrane from the retina	51	43	$2237.51	$1124.91
68841 Insertion of drug delivery implant into tear duct of eye	49	40	$95.00	$19.12
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	35	25	$3233.00	$1131.97
67145 Photocoagulation treatment to prevent detachment of retina	29	26	$587.44	$233.12
66820 Removal of recurring cataract in lens capsule	22	18	$1170.00	$229.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$365.00	$182.32
92083 Exam of visual field with extended testing	13	11	$125.00	$60.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	14,400	30	$44.63	$36.47
J0178 Injection, aflibercept, 1 mg	2,078	152	$1841.10	$867.23
92134 Imaging of retina	1,994	606	$80.00	$39.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,305	599	$260.00	$127.10
67028 Injection of drug into eye	1,275	228	$705.73	$127.66
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	1,204	17	$2.46	$0.69
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,020	23	$359.63	$148.84
92201 Extended exam of the back part of the eye with retinal drawing	286	278	$65.00	$24.46
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	203	21	$380.86	$199.58
92235 Exam of retinal blood vessels using a special camera after injection of a dye	182	168	$245.00	$132.44
J2778 Injection, ranibizumab, 0.1 mg	170	12	$519.98	$214.44
92014 Established patient complete exam of visual system	166	133	$250.00	$123.31
76512 Ultrasound of eye disease, growth, or structure	150	108	$95.00	$46.80
92250 Photography of the retina	114	96	$75.00	$35.99
J3590 Unclassified biologics	96	49	$4239.69	$1526.71
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	94	94	$250.00	$121.70
J3490 Unclassified drugs	71	16	$3392.96	$1314.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$340.00	$166.95
67041 Removal of membrane from the retina	45	37	$2260.00	$1125.70
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$185.00	$89.94
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	35	19	$3290.00	$1140.06
68841 Insertion of drug delivery implant into tear duct of eye	32	29	$95.00	$17.70
92083 Exam of visual field with extended testing	31	27	$125.00	$60.73
67145 Photocoagulation treatment to prevent detachment of retina	24	21	$600.00	$231.72
J7999 Compounded drug, not otherwise classified	21	13	$130.00	$80.26
67036 Removal of eye fluid (vitreous) between the lens and retina	13	12	$2215.00	$795.96
66820 Removal of recurring cataract in lens capsule	12	11	$1170.00	$230.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	2,700	18	$40.00	$37.45
J0178 Injection, aflibercept, 1 mg	1,888	170	$1430.52	$890.68
92134 Imaging of retina	1,516	515	$86.53	$39.58
67028 Injection of drug into eye	956	211	$579.84	$124.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	862	473	$234.25	$128.05
J2778 Injection, ranibizumab, 0.1 mg	388	19	$508.00	$276.92
92235 Exam of retinal blood vessels using a special camera after injection of a dye	288	246	$266.81	$122.16
92014 Established patient complete exam of visual system	280	222	$239.55	$124.62
99213 Established patient office or other outpatient visit, typically 15 minutes	260	146	$145.54	$91.44
92250 Photography of the retina	181	152	$115.77	$35.76
92201 Extended exam of the back part of the eye with retinal drawing	157	148	$59.53	$24.60
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	119	11	$392.12	$197.91
92202 Extended exam of the back part of the eye with optic nerve drawing	107	103	$33.32	$15.76
76512 Ultrasound of eye disease, growth, or structure	102	78	$185.15	$47.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$327.65	$168.90
J3590 Unclassified biologics	34	12	$3600.00	$2028.54
67145 Photocoagulation treatment to prevent detachment of retina	33	29	$851.33	$231.10
67041 Removal of membrane from the retina	32	30	$2299.50	$1108.21
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	29	19	$3319.17	$1166.82
92083 Exam of visual field with extended testing	28	25	$130.71	$61.23
67210 Laser destruction of retinal growth, 1 or more sessions	26	18	$1361.54	$511.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$315.26	$182.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	1,178	105	$1150.00	$918.26
92134 Imaging of retina	808	284	$92.00	$40.07
92250 Photography of the retina	707	276	$135.00	$38.78
67028 Injection of drug into eye	600	132	$497.70	$125.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	257	$206.16	$131.22
J2778 Injection, ranibizumab, 0.1 mg	314	16	$508.00	$314.12
92014 Established patient complete exam of visual system	268	179	$236.00	$125.91
92235 Exam of retinal blood vessels using a special camera after injection of a dye	243	177	$285.00	$115.37
99213 Established patient office or other outpatient visit, typically 15 minutes	233	105	$140.00	$92.43
76512 Ultrasound of eye disease, growth, or structure	82	58	$179.16	$49.37
92202 Extended exam of the back part of the eye with optic nerve drawing	75	73	$32.06	$15.99
92201 Extended exam of the back part of the eye with retinal drawing	35	31	$50.68	$25.09
67210 Laser destruction of retinal growth, 1 or more sessions	33	22	$1400.00	$518.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$314.00	$171.01
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	22	16	$3337.00	$1306.89
67145 Photocoagulation treatment to prevent detachment of retina	22	22	$1238.00	$521.98
92012 Established patient problem focused exam of visual system	21	21	$163.00	$88.94
67041 Removal of membrane from the retina	21	20	$2339.00	$1151.62
J3490 Unclassified drugs	20	13	$130.00	$76.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$277.00	$183.82
92083 Exam of visual field with extended testing	15	13	$145.00	$62.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	1,160	210	$1248.97	$911.83
92134 Imaging of retina	1,114	634	$149.01	$47.04
J0179 Injection, brolucizumab-dbll, 1 mg	660	39	$415.97	$313.84
92014 Established patient complete exam of visual system	637	541	$200.90	$147.66
67028 Injection of drug into eye	628	252	$902.72	$131.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	321	299	$346.56	$122.52
92012 Established patient problem focused exam of visual system	177	141	$140.65	$103.92
92250 Photography of the retina	177	171	$130.45	$48.79
92202 Extended exam of the back part of the eye with optic nerve drawing	102	102	$146.53	$18.49
J2778 Injection, ranibizumab, 0.1 mg	95	14	$500.00	$341.49
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	91	11	$350.00	$197.26
92201 Extended exam of the back part of the eye with retinal drawing	81	78	$150.00	$29.66
76512 Ultrasound of eye disease, growth, or structure	67	55	$360.57	$66.13
67210 Laser destruction of retinal growth, 1 or more sessions	58	49	$2481.03	$611.31
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	30	30	$400.00	$157.91
92004 New patient complete exam of visual system	26	26	$248.65	$166.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$181.45	$123.85
67145 Photocoagulation treatment to prevent detachment of retina	17	15	$1820.71	$590.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	3,046	234	$1250.00	$940.45
92134 Imaging of retina	2,713	850	$150.00	$46.62
J2778 Injection, ranibizumab, 0.1 mg	1,756	62	$500.73	$351.54
67028 Injection of drug into eye	1,695	324	$919.47	$132.16
92014 Established patient complete exam of visual system	1,530	853	$200.00	$145.89
92250 Photography of the retina	1,015	770	$125.58	$57.16
92235 Exam of retinal blood vessels using a special camera after injection of a dye	903	635	$350.00	$106.85
92012 Established patient problem focused exam of visual system	685	417	$134.58	$101.72
92225 Examination of eye by ophthalmoscope with retinal drawing	594	534	$196.77	$52.04
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	329	29	$350.00	$196.83
92226 Examination of eye by ophthalmoscope with retinal drawing	236	193	$164.75	$40.20
76512 Ultrasound of eye disease, growth, or structure	222	153	$383.11	$76.14
67210 Laser destruction of retinal growth, 1 or more sessions	178	98	$2500.00	$597.84
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	172	125	$400.00	$159.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	108	$162.91	$126.56
J9035 Injection, bevacizumab, 10 mg	90	41	$100.00	$79.95
92004 New patient complete exam of visual system	56	56	$236.43	$175.60
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	44	30	$2500.00	$378.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$210.00	$169.49
67145 Photocoagulation treatment to prevent detachment of retina	26	24	$2000.00	$618.42
92083 Exam of visual field with extended testing	20	19	$135.00	$70.80
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	16	13	$3200.00	$1356.24
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$113.21	$80.68
92240 Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye	11	11	$450.00	$248.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,636	204	$1250.00	$951.89
92134 Imaging of retina	2,455	738	$131.18	$40.94
67028 Injection of drug into eye	1,590	300	$920.28	$131.48
J2778 Injection, ranibizumab, 0.1 mg	1,530	55	$500.98	$369.05
92014 Established patient complete exam of visual system	1,427	830	$197.04	$144.64
92226 Examination of eye by ophthalmoscope with retinal drawing	1,422	600	$144.56	$34.50
92235 Exam of retinal blood vessels using a special camera after injection of a dye	889	631	$350.00	$99.05
92250 Photography of the retina	792	622	$115.00	$63.05
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	574	50	$350.00	$192.56
92012 Established patient problem focused exam of visual system	508	324	$125.00	$101.26
92225 Examination of eye by ophthalmoscope with retinal drawing	355	249	$148.06	$37.74
76512 Ultrasound of eye disease, growth, or structure	200	122	$342.63	$80.66
J9035 Injection, bevacizumab, 10 mg	178	52	$100.00	$74.12
67210 Laser destruction of retinal growth, 1 or more sessions	118	78	$2500.00	$597.73
92240 Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye	93	87	$450.00	$240.70
92275 Recording of retinal electrical responses to external stimuli	70	66	$300.00	$174.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	54	$210.00	$165.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$155.00	$124.76
92004 New patient complete exam of visual system	34	34	$200.00	$165.80
67145 Photocoagulation treatment to prevent detachment of retina	30	28	$2000.00	$615.61
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	22	20	$2500.00	$384.74
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	17	11	$3700.00	$1537.96
67210 Laser destruction of retinal growth, 1 or more sessions	12	11	$2500.00	$588.31
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$110.00	$84.78
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	11	$3200.00	$1234.58
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	11	11	$500.00	$271.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,524	251	$1250.00	$962.80
92134 Imaging of retina	2,099	845	$158.08	$46.83
J2778 Injection, ranibizumab, 0.1 mg	1,753	80	$500.26	$368.15
67028 Injection of drug into eye	1,614	364	$895.91	$129.80
92226 Examination of eye by ophthalmoscope with retinal drawing	1,329	622	$143.21	$33.77
92014 Established patient complete exam of visual system	1,317	932	$182.96	$141.71
92250 Photography of the retina	874	749	$115.00	$77.12
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	847	63	$350.00	$197.57
92235 Exam of retinal blood vessels using a special camera after injection of a dye	755	618	$350.00	$91.37
92012 Established patient problem focused exam of visual system	635	391	$125.00	$98.18
92225 Examination of eye by ophthalmoscope with retinal drawing	405	257	$135.70	$34.40
99213 Established patient office or other outpatient visit, typically 15 minutes	202	146	$110.00	$84.63
76512 Ultrasound of eye disease, growth, or structure	171	112	$358.19	$105.42
J9035 Injection, bevacizumab, 10 mg	149	45	$100.00	$73.39
67210 Laser destruction of retinal growth, 1 or more sessions	61	48	$2500.00	$604.98
92004 New patient complete exam of visual system	54	54	$200.00	$171.41
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	53	52	$500.00	$268.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$155.00	$124.04
67145 Photocoagulation treatment to prevent detachment of retina	21	19	$2000.00	$615.03
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	21	15	$2500.00	$397.07
92083 Exam of visual field with extended testing	18	17	$135.00	$72.70

Medical Specialties & State Licenses

CMS Verified: 2024-09-09

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 261453

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03338727 (NY)

Hospital & Practice Group Affiliations

Retina Partners Of Florida

2322 Lakeland Hills Blvd, Lakeland, FL 338052995

Phone: 8633454350

Secondary Practice Locations

6002 Pointe West Blvd

Bradenton, FL 342095531

Phone: 9417922020

1601 38th Ave N

St Petersburg, FL 337131926

Phone: 9417922020

1550 E Venice Ave

Venice, FL 342921661

Phone: 9417922020

4101 Evans Ave

Fort Myers, FL 339019310

Phone: 9417922020

3894 Sun City Center Blvd

Sun City Center, FL 335736806

Phone: 9417922020

7915 Us Highway 301 N Ste 101

Ellenton, FL 342223532

Phone: 9417922020

6807 State Road 70 E

Bradenton, FL 342039743

Phone: 9417922020

2203 61st St W

Bradenton, FL 342095528

Phone: 9417922020

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Bradley Oneill , DO

Ophthalmology

NPI 1043646672

Doctor of Osteopathic Medicine (D.O.)

Dr. Tyler Wickas , MD

Ophthalmology

NPI 1063041473

Doctor of Medicine (M.D.)

Dr. Richard Hector , MD

Ophthalmology

NPI 1073511077

Doctor of Medicine (M.D.)

Dr. Scott Han , OD

Optometrist

NPI 1104824051

Doctor of Optometry

Jacqueline Paszko , APRN

Nurse Practitioner - Family

NPI 1124793385

Advanced Practice Registered Nurse

Dr. Edwin Detweiler Iii , OD

Optometrist

NPI 1154303923

Doctor of Optometry

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location June 17, 2024

Registered at 2111 BEE RIDGE RD, SARASOTA, FL 342396104 (Tel: 9417922020)

📍

Updated Business Mailing Address June 17, 2024

Registered at PO BOX 162264, ALTAMONTE SPRINGS, FL 327162264 (Tel: 9417922020)

📍

Updated Practice Location September 09, 2020

Registered at 6002 POINTE WEST BLVD, BRADENTON, FL 342095531 (Tel: 9417922020)

📍

Updated Business Mailing Address September 09, 2020

Registered at 6002 POINTE WEST BLVD, BRADENTON, FL 342095531 (Tel: 9417922020)

📍

Updated Business Mailing Address September 16, 2019

Registered at 825 E GATE BLVD STE 111, GARDEN CITY, NY 115302136 (Tel: 5168045200)

✅

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2017

Registered at 2000 N. VILLAGE AVENUE, SUITE 402, ROCKVILLE CENTRE, NY 11570 (Tel: 5167662519)

📍

Updated Business Mailing Address March 23, 2017

Registered at 865 MERRICK AVENUE, SUITE 80N, WESTBURY, NY 115906695 (Tel: 5168045200)

👤

Provider Name / Credentials Updated March 23, 2017

Recorded as DANIEL KIERNAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Ophthalmology (License #261453 in NY)

✅

NPI Profile Active April 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2012

Registered at 2000 N. VILLAGE AVENUE, SUITE 402, ROCKVILLE CENTRE, NY 11570 (Tel: 5167662519)

📍

Updated Business Mailing Address April 03, 2012

Registered at 865 MERRICK AVENUE, SUITE 80N, WESTBURY, NY 115906695 (Tel: 5168045200)

👤

Provider Name / Credentials Updated April 03, 2012

Recorded as DANIEL KIERNAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Ophthalmology (License #261453 in NY)

🟢

Initial NPI Registration & Enumeration August 25, 2008

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: 1376790022

Entity Type:

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

Enumeration Date: August 25, 2008

Last Update: September 09, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 162264

Altamonte Springs, FL 327162264

Phone: 9417922020

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.