OrganizationActive
Premier Eye Clinic
NPI 1265718894 · Ophthalmology Physician · Port Orange, FL
Provider details
- NPI number
- 1265718894
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Qing Ge, President(386) 788-6198
- License
- ME96155 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3641 South Clyde Morris Boulevard
Suite 500
Port Orange, FL 32129-2357
Phone: (386) 788-6198
Fax: (386) 788-4616
Street-level locationGet directions
Mailing address
3641 South Clyde Morris Boulevard
Port Orange, FL 32129-2357
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2012-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.