Organization Active NPI

Panhandle Vision Group Inc

  • Specialist
  • Pensacola, FL
National Provider Identifier
1104295484
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PANHANDLE VISION GROUP INC
Practice address
5101 North Davis Hwy
Pensacola, FL 32503-2040
Phone
(850) 438-1277
Fax
(850) 438-1278
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Carl H Spear, ODNPI 1871580944
Title
Owner
Phone
(850) 438-1277

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5101 North Davis Hwy
Pensacola, FL 32503-2040

Mailing address

5101 North Davis Hwy
Pensacola, FL 32503-2040
Phone (850) 438-1277

National Provider Directory

National Provider Directory

Locations

5101 N Davis Hwy
Ste B
Pensacola, FL 32503
Phone (850) 438-1277

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": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1104295484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NORTH DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032040",
            "telephone_number": "850-438-1277",
            "fax_number": "850-438-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 NORTH DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032040",
            "telephone_number": "850-438-1277",
            "fax_number": "850-438-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-438-1277",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.