Organization Active NPI

Pga Eye Associates,LLC

Doing business as PGA Eye Associates

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1063502458
Registry record updated Oct 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PGA EYE ASSOCIATES,LLC
Doing business as
PGA Eye Associates
Practice address
6271 Pga Blvd
Suite 202
Palm Beach Gardens, FL 33418-4034
Phone
(561) 799-3930
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2008

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

Authorized official

Name
Dr. Vivienne Laura RosenbuschNPI 1508048547
Title
President
Phone
(561) 799-3930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6271 Pga Blvd
Suite 202
Palm Beach Gardens, FL 33418-4034

Mailing address

6271 Pga Blvd
Suite 202
Palm Beach Gardens, FL 33418-4034
Phone (561) 799-3930

Other names 1

  • PGA Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

6271 Pga Blvd
Ste 202
Palm Beach Gardens, FL 33418
Phone (561) 626-9555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223683200000",
    "number": "1063502458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 PGA BLVD",
            "address_2": "SUITE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184034",
            "telephone_number": "561-799-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 PGA BLVD",
            "address_2": "SUITE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184034",
            "telephone_number": "561-799-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGA EYE ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-10-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBUSCH",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-799-3930",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PGA Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.