Second Sight Rehab PA

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

SECOND SIGHT REHAB PA

Practice address

4101 NW 89TH Blvd
Shands Rehabilitation Hospital
Gainesville, FL 32606-3813

Phone

(352) 265-5491

Fax

(352) 265-5431

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie Schmiedecke, OD

Title

Optometrist, President

Phone

(832) 541-9186

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1063420172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 TURKEY CRK",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326159500",
            "telephone_number": "832-541-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 89TH BLVD",
            "address_2": "SHANDS REHABILITATION HOSPITAL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063813",
            "telephone_number": "352-265-5491",
            "fax_number": "352-265-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND SIGHT REHAB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SCHMIEDECKE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT",
        "authorized_official_telephone_number": "832-541-9186",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Low Vision Rehabilitation Optometrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Low Vision Rehabilitation Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.