Organization Active NPI

Case Vision Associates PA

  • Optometrist
  • Ormond Beach, FL
National Provider Identifier
1174160972
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CASE VISION ASSOCIATES PA
Practice address
1474 W Granada Blvd Ste 470
Ormond Beach, FL 32174-8240
Phone
(386) 673-3011
Fax
(386) 673-3099
NPI assigned
Nov 30, 2019
Last updated
Nov 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Authorized official

Name
Dr. John Michael Case, ODNPI 1891738845
Title
Owner
Phone
(386) 673-3011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1474 W Granada Blvd Ste 470
Ormond Beach, FL 32174-8240

Mailing address

2564 Enterprise Rd
Orange City, FL 32763-7904
Phone (386) 774-7242

Other practice location 1

2564 Enterprise Rd
Orange City, FL 32763-7904
Phone (386) 774-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413001132 FL Part B Supplier - Clinic/Group Practice 7315376407 Receives reassigned benefits from 1 practitioner
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575072000000",
    "number": "1174160972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637904",
            "telephone_number": "386-774-7242",
            "fax_number": "386-774-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 W GRANADA BLVD STE 470",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748240",
            "telephone_number": "386-673-3011",
            "fax_number": "386-673-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637904",
            "country_code": "US",
            "telephone_number": "386-774-7242",
            "fax_number": "386-774-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASE VISION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-30",
        "last_updated": "2019-11-30",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-673-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; 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.