Eye Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

ME82259 Issued in FL

Legal business name

EYE SHOP

Practice address

5305 Grand Blvd
New Port Richey, FL 34652-4014

Phone

(727) 847-0889

Fax

(727) 846-0889

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carey T Rowan, M.D.NPI 1114981875

Title

Owner

Phone

(727) 847-0889

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rowan Eye Center Doing business as

Practitioners 1

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

• Carey Thomas Rowan, M.D

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1114981875
  NPD Authorized official

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1104371277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524014",
            "telephone_number": "727-847-0889",
            "fax_number": "727-846-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524014",
            "telephone_number": "727-847-0889",
            "fax_number": "727-846-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-847-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME82259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "40052",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006703100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rowan Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.