Space Coast Ophthalmology LLC
NPI 1962954107 · Ophthalmology Physician · Titusville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Space Coast Ophthalmology LLC is a Ophthalmology Physician organization in Titusville, FL (NPI 1962954107).
Provider details
- NPI number
- 1962954107
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Pefkaros, President(321) 267-0008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-11-03
- Last updated
- 2017-03-13
Frequently asked questions
- What is Space Coast Ophthalmology LLC's NPI number?
- Space Coast Ophthalmology LLC's National Provider Identifier (NPI) is 1962954107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space Coast Ophthalmology LLC?
- Space Coast Ophthalmology LLC is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Space Coast Ophthalmology LLC located?
- Space Coast Ophthalmology LLC's practice location on file with NPPES is 1832 Garden St, Titusville, FL 32796-3200.
- What is Space Coast Ophthalmology LLC's phone number?
- The practice phone number listed in the NPPES registry for Space Coast Ophthalmology LLC is (321) 433-2310.
- Does Space Coast Ophthalmology LLC accept Medicare?
- Space Coast Ophthalmology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Space Coast Ophthalmology LLC?
- The authorized official listed on Space Coast Ophthalmology LLC's NPPES record is Nicholas Pefkaros, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space Coast Ophthalmology LLC's NPI active?
- Yes — Space Coast Ophthalmology LLC's NPI (1962954107) is active in the NPPES registry as of the last update on 2017-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.