Healthcare Provider Details

I. General information

NPI: 1336050483
Provider Name (Legal Business Name): OCALA EYE SURGEONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 SW COLLEGE RD UNIT 1462
OCALA FL
34474-2701
US

IV. Provider business mailing address

4414 SW COLLEGE RD UNIT 1462
OCALA FL
34474-2701
US

V. Phone/Fax

Practice location:
  • Phone: 352-694-8972
  • Fax: 352-622-2720
Mailing address:
  • Phone: 352-694-8972
  • Fax: 352-622-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHANDER N SAMY
Title or Position: OWNER, AUTHORIZED OFFICAL
Credential: MD
Phone: 352-622-5183