Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Srinivas Mutyala, MD

Individual provider Ophthalmology Physician · NPI 1689654717

Dr. Srinivas Mutyala, MD is an Ophthalmology in Weston, Florida. Graduated from University of Missouri, Kansas City, School of Medicine in 1993, 33 years ago. Practices with Weston Laser and Vision Institute, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
33
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2625 Executive Park Dr Ste #4
Weston, FL 33331-3634
Phone: (954) 659-9051
Fax: (954) 659-9052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME0076746 (FL)

Record details

NPI number1689654717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Weston Laser And Vision Institute, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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