Organization Active NPI

Visual Health at Jupiter Eye Center LLC

  • Ophthalmology Physician
  • Jupiter, FL
National Provider Identifier
1013027317
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISUAL HEALTH AT JUPITER EYE CENTER LLC
Practice address
102 Coastal Way
#103
Jupiter, FL 33477-5004
Phone
(561) 747-1111
Fax
(561) 744-6682
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Madonna Coffman
Title
Administartor
Phone
(561) 227-3101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

102 Coastal Way
#103
Jupiter, FL 33477-5004

Mailing address

2889 10TH Ave N
Ste 305
Lake Worth, FL 33461-3045
Phone (561) 964-0707

National Provider Directory

National Provider Directory

Locations

102 Coastal Way
Jupiter, FL 33477
Phone (561) 747-1111

102 Coastal Way
#103
Jupiter, FL 33477
Phone (561) 747-1111

102 Coastal Way
Ste 306
Jupiter, FL 33477

2889 10th Ave N
Ste 101
Palm Springs, FL 33461

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1013027317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N",
            "address_2": "STE 305",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613045",
            "telephone_number": "561-964-0707",
            "fax_number": "561-227-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COASTAL WAY",
            "address_2": "#103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775004",
            "telephone_number": "561-747-1111",
            "fax_number": "561-744-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL HEALTH AT JUPITER EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "MADONNA",
        "authorized_official_title_or_position": "ADMINISTARTOR",
        "authorized_official_telephone_number": "561-227-3101"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.