NPIMap

Organization Active NPI

Family Eyecare Center,PC

  • Optometrist
  • Saint Paul, NE
National Provider Identifier
1023190170
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYECARE CENTER,PC
Doing business as
Family Eyecare Center, PC
Practice address
624 Howard Ave
Saint Paul, NE 68873-2023
Phone
(308) 754-5609
Fax
(308) 754-4338
NPI assigned
Oct 19, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY EYECARE CENTER,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Mark H Stines, OD
Title
Owner
Phone
(308) 754-5609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Optometrist 152W00000X Primary

Addresses

Primary practice location

624 Howard Ave
Saint Paul, NE 68873-2023

Mailing address

624 Howard Ave
Saint Paul, NE 68873-2023
Phone (308) 754-5609

Other names 1

  • Family Eyecare Center, PC Doing business as

National Provider Directory

National Provider Directory
Part of
Family Eyecare Center P

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1023190170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HOWARD AVE",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732023",
            "telephone_number": "308-754-5609",
            "fax_number": "308-754-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOWARD AVE",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732023",
            "telephone_number": "308-754-5609",
            "fax_number": "308-754-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY EYECARE CENTER,PC",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "STINES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-754-5609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.