EyeCare of Longwood – Optometrist, NPI 1427177039

EyeCare of Longwood is a healthcare provider. based in Longwood, Florida. specializing in Optometrist. The organization holds a License No. OPC 2675 (FL). The NPI Number for EyeCare of Longwood is 1427177039

Main info

Organization
Name
EyeCare of Longwood
NPI
1427177039
Phone
(407) 261-0505
Address
983 W STATE ROAD 434
Authorized Official
DR. DALE S. JOHNSON PRESIDENT O.D.
Enumeration Date
28 March 2007
Last Update Date
29 December 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for EyeCare of Longwood

  • 983 W STATE ROAD 434

    LONGWOOD, FL 327505103

    Phone: (407) 261-0505

    Fax: (407) 831-4936

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-12-31 (160 days ago).

Enrollment records

1

Earliest due date

2025-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081013000544OClinic/Group PracticeFL2025-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32750)

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Reviews

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Frequently asked questions

What NPI should I save for EyeCare of Longwood?
Save NPI 1427177039 if you need a stable reference for EyeCare of Longwood.
Is EyeCare of Longwood's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does EyeCare of Longwood treat or focus on?
Patients typically see EyeCare of Longwood under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for EyeCare of Longwood?
The page summarizes Longwood, Florida for EyeCare of Longwood; expand the address list for detail.
What if Longwood, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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