Vitaleyes is a medicare enrolled "Ophthalmology" provider in Summerfield, Florida. Their current practice location is
17809 Se 109th Ave Unit 2, Summerfield, Florida. You can reach out to their office (for appointments etc.) via phone at
(352) 804-2397.
Vitaleyes is licensed to practice in NU (license number ) and it also participates in the medicare program. Vitaleyes
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1043187602.
Healthcare Provider's Profile
| Full Name | Vitaleyes |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 17809 Se 109th Ave Unit 2, Summerfield, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043187602
- Provider Enumeration Date: 10/20/2025
- Last Update Date: 08/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 8820582935
- Enrollment ID: O20251216000532
Medical Identifiers
Medical identifiers for Vitaleyes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043187602 | NPI | - | NPPES |
| 1164749297 | Other | FL | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (NU) | Secondary |
| 207W00000X | Ophthalmology | (NU) | Primary |
| 261QS0132X | Clinic/center - Ophthalmologic Surgery | (NU) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | (NU) | Secondary |
| 207WX0109X | Ophthalmology - Neuro-ophthalmology | (NU) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vitaleyes acts as a billing entity for following providers:
| Provider Name | Alethia Helen Pantazis |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1164749297
PECOS PAC ID: 5698030773
Enrollment ID: I20200529000650 |
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| Provider Name | Nadine Latif Hamed |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1194354779
PECOS PAC ID: 7618397670
Enrollment ID: I20240716001178 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vitaleyes is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Vitaleyes
2370 Se Laurel Run Dr,
Ocala, FL 34471-8205
Ph: (352) 804-2397 | Vitaleyes
17809 Se 109th Ave Unit 2,
Summerfield, FL 34491-8912
Ph: (352) 804-2397 |
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