Family Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6025/T2940 Issued in OH

Legal business name

FAMILY VISION CARE, LLC

Practice address

11564 Springfield Pike
Cincinnati, OH 45246-3527

Phone

(215) 378-4181

Fax

(513) 671-3728

NPI assigned

Aug 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Deborah L. Consbruck, O.D.

Title

Optometrist

Phone

(215) 378-4181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1134477144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 STABLEHAND DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424642",
            "telephone_number": "215-378-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11564 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463527",
            "telephone_number": "215-378-4181",
            "fax_number": "513-671-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSBRUCK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-378-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6025/T2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12340066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Therapy Center
• Family Therapy Center Inc
• Family Touch Home Healthcare
• Family Tree Chiropractic Center Inc
• Family Vision Care Centers LLC
• Tianhui Fan
• Yuanxiang Fan
• Katrina Linda Fananapazir, C.P.N.P.
• Shulammite Fanegan, NP
• Logan Fang, LPCC

• Optometrist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.