Elite Eyecare Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL3136 Issued in FL

Legal business name

ELITE EYECARE INCORPORATED

Practice address

1185 W Granada Blvd Ste 7
Ormond Beach, FL 32174-3100

Phone

(386) 676-3937

NPI assigned

Nov 14, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Gee Ling, O.D.NPI 1104815638

Title

President

Phone

(386) 676-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Gee Ling, O.D.

  • Optometrist
  • Ormond Beach, FL
  • NPI 1104815638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1144401589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 W GRANADA BLVD STE 7",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743100",
            "telephone_number": "386-676-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 W GRANADA BLVD STE 7",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743100",
            "telephone_number": "386-676-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-676-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620986600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Shores Orthopedic Brace Inc
• Riley Eddy
• George Lawrence Ehringer, M.D.
• Roberta Ashley Ekholm, DO
• Ela Therapy Solutions, Inc.
• Elite Physical Therapy Associates, LLC (Elite Physical Therapy)
• Elizabeth Krochak MD PA
• Elizabeth Morejon, DMD, Ms, PA
• Elliott Consulting, Inc.
• Carol H Elliott, RD, LD/N

• Optometrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.