Organization Active NPI

Family Eyecare Center, PC

  • Optometrist
  • Grand Island, NE
National Provider Identifier
1124085618
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYECARE CENTER, PC
Practice address
401 N Eddy St
Grand Island, NE 68801-4558
Phone
(308) 384-6922
Fax
(308) 384-7824
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mark H Stines, OD
Title
Owner
Phone
(308) 384-6922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NE Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

401 N Eddy St
Grand Island, NE 68801-4558

Mailing address

401 N Eddy St
Grand Island, NE 68801-4558
Phone (308) 384-6922

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

707 Howard Ave
Saint Paul, NE 68873
Phone (308) 754-5609

Interoperability endpoints

  • FHIR API: https://familyeyecarecampbell.ef.prod.fhir.ema-api.com/fhir/r4/

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124085618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EDDY ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014558",
            "telephone_number": "308-384-6922",
            "fax_number": "308-384-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STINES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-384-6922",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.