Healthcare Provider Details

I. General information

NPI: 1871199349
Provider Name (Legal Business Name): AHMED EYE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11024 W COLONIAL DR STE 30
OCOEE FL
34761-2985
US

IV. Provider business mailing address

15704 ORANGE HARVEST LOOP
WINTER GARDEN FL
34787-3198
US

V. Phone/Fax

Practice location:
  • Phone: 571-236-3099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. UMAR AHMED
Title or Position: OWNER/PHYSICIAN
Credential: OD
Phone: 571-236-3099