Organization Active NPI

Visual Health at Jupiter Eye Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Jupiter, FL
National Provider Identifier
1073737060
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
VISUAL HEALTH AT JUPITER EYE CENTER LLC
Practice address
102 Coastal Way
Jupiter, FL 33477-5004
Phone
(561) 747-1111
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Tom Coffman, MD
Title
Owner
Phone
(561) 747-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

102 Coastal Way
Jupiter, FL 33477-5004

Mailing address

2889 10TH Ave N
Ste 305
Lake Worth, FL 33461-3045

National Provider Directory

National Provider Directory

Locations

2889 10th Ave N
Ste 304
Palm Springs, FL 33461
Phone (407) 969-0139

Practitioners & affiliated clinicians

Practitioners 4

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1073737060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 10TH AVE N",
            "address_2": "STE 305",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COASTAL WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775004",
            "telephone_number": "561-747-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL HEALTH AT JUPITER EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-747-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

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