Space Coast Ophthalmology LLC
NPI 1962954107ActiveOrganization· Ophthalmology· Titusville, FL
Ophthalmology in Titusville, Florida, registered in NPPES in November 2016. The authorized official on file is Nicholas Pefkaros, MD, President. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1962954107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2016 |
| Last updated in NPPES | Mar 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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