MEDICARE: CENTRAL FLORIDA PREMIER EYE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	98103	OTHER	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013956986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL FLORIDA PREMIER EYE ASSOCIATES

Provider Business Mailing Address
First Line	:	1852 MAYO DR
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-4320
Country	:	US
Telephone Number	:	352-343-2020
Fax Number	:	352-343-4728

Provider Business Practice Location Address
First Line	:	1852 MAYO DR
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-4320
Country	:	US
Telephone Number	:	352-343-2020
Fax Number	:	352-343-4728

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT WEHRLY
Credential	:	MD
Telephone Number	:	352-343-4798

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	05/21/2026

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