AVALON PARK EYE CARE, LLC
NPI 1053548313
Optometrist in Orlando, FL

Active since June 14, 2009CLIA 10D2108812 · Waiver
12001 AVALON LAKE DR, SUITE J, ORLANDO, FL 32828(407) 567-9955(407) 567-9966 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avalon Park Eye Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON PARK EYE CARE, LLC (NPI 1053548313) is a healthcare organization registered as an optometrist in Orlando, Florida and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Kenneth John Tesinsky, President/optometrist, as its authorized official.

NPPES Registry Identity

NPI1053548313
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAVALON PARK EYE CARE, LLC
Location Address12001 AVALON LAKE DR, SUITE JOrlando, FL 32828-7375
Mailing Address12001 Avalon Lake Dr, Suite JOrlando, FL 32828-7375 · (407) 567-9955 · Fax (407) 567-9966
Fax(407) 567-9966
Organization SubpartNo
Authorized OfficialKenneth John TesinskyPresident/optometrist · (407) 567-9955
Enumeration DateJune 14, 2009
Last NPPES UpdateMay 10, 2010
NPI 1053548313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC3836
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12001 AVALON LAKE DR, Orlando, FL 32828

Other Identifiers 1

Medicare PINCN251AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2108812

Avalon Park Eye Care · Orlando, FL
Active · expires Feb 11, 2028
CLIA Number10D2108812
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorKenneth J. Tesinsky
Laboratory Phone(407) 567-9955
Laboratory LocationAvalon Park Eye Care12001 Avalon Lake Dr Ste J, Orlando, FL 32828
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
12001 AVALON LAKE DR, SUITE J
ORLANDO, FL 32828
Home Health
12001 AVALON LAKE DR, STE. L
ORLANDO, FL 32828
Optometrist
12001 AVALON LAKE DR, SUITE J
ORLANDO, FL 32828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Park Eye Care, LLC's NPI number?

The NPI number for Avalon Park Eye Care, LLC is 1053548313. It was assigned to this organization in the NPPES registry on June 14, 2009.

Where is Avalon Park Eye Care, LLC located?

Avalon Park Eye Care, LLC is located at 12001 Avalon Lake Dr Suite J, Orlando, FL 32828. The listed phone number is (407) 567-9955.

What is Avalon Park Eye Care, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Avalon Park Eye Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2108812) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avalon Park Eye Care, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Avalon Park Eye Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avalon Park Eye Care, LLC was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.