Organization Active NPI

Abbey Eye Institute, PA

  • Ophthalmology Physician
  • Quincy, FL
National Provider Identifier
1073521985
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0047707 Issued in FL
Legal business name
ABBEY EYE INSTITUTE, PA
Practice address
23 N Madison St
Quincy, FL 32351
Phone
(850) 627-3600
Fax
(850) 627-1175
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mrs. Sandy Johnson
Title
Office MGR
Phone
(850) 627-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0047707 FL Primary

Addresses

Primary practice location

23 N Madison St
Quincy, FL 32351

Mailing address

23 N Madison St
Quincy, FL 32351
Phone (850) 627-3600

Other identifiers 1

IdentifierTypeStateIssuer
045112600MedicaidFL

National Provider Directory

National Provider Directory

Locations

23 N Madison St
Quincy, FL 32351
Phone (850) 627-1515

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1073521985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N MADISON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-3600",
            "fax_number": "850-627-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N MADISON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-627-3600",
            "fax_number": "850-627-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEY EYE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "850-627-3600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0047707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045112600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.