Institutional Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INSTITUTIONAL EYE CARE LLC

Practice address

27499 Riverview Center Blvd Ste 429
Bonita Springs, FL 34134-4342

Phone

(866) 604-2931

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Zachary Lose

Title

Member

Phone

(866) 604-2931

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• O'Malley Marie Bosanic, OD

  • Optometrist
  • Bonita Springs, FL
  • NPI 1477129054
  NPD (past)
• Amy Kay Kanour

  • Ophthalmic Assistant
  • Lewisburg, PA
  • NPI 1558708289
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1063942712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366550",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341366550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 429",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344342",
            "telephone_number": "866-604-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTIONAL EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "LOSE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "866-604-2931"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elena Theresa Ippolito

• Optometrist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.