MEDICARE: ALTAMONTE EYE CARE, INC

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	152W00000X	Optometrist	OPC 2556	FL
2	152WC0802X	Corneal and Contact Management Optometrist	OPC 2556	FL
3	152WP0200X	Pediatric Optometrist	OPC 2556	FL

General Provider Information

NPI Number	:	1477622546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTAMONTE EYE CARE, INC

Provider Business Mailing Address
First Line	:	931 N STATE ROAD 434
Second Line	:	#1140
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7022
Country	:	US
Telephone Number	:	407-671-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	931 N STATE ROAD 434
Second Line	:	#1140
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7022
Country	:	US
Telephone Number	:	407-671-2020
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. CHRISTOPHER WARREN REED
Credential	:	OD
Telephone Number	:	407-671-2020

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	09/11/2025

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