Family Vision Associates, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC002181 Issued in FL

Legal business name

FAMILY VISION ASSOCIATES, P.A.

Practice address

11380 Prosperity Farms Rd
Suite 119
Palm Beach Gardens, FL 33410-3464

Phone

(561) 627-1114

Fax

(561) 627-2304

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael B Haugen, O.D.

Title

President

Phone

(561) 627-1114

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michael B Haugen O.D. Doing business as

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1043478704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 119",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103464",
            "telephone_number": "561-627-1114",
            "fax_number": "561-627-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "SUITE 119",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103464",
            "telephone_number": "561-627-1114",
            "fax_number": "561-627-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-627-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078980100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD OF FLORIDA",
            "identifier": "19389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael B Haugen O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medical Care of Palm Beach, PLLC
• Family Practice & Internal Medicine of the Palm Beaches LLC
• Jennifer L. Faniel, SLP
• Saeed Farahmandfar, MD
• Tyrone Farias, PA
• Faris K. Azar, M.D., PLLC
• Faro Motta MD PA

• Optometrist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.