Ocoee Eye Center, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0000021886 Issued in TN

Legal business name

OCOEE EYE CENTER, PLLC

Practice address

2175 Chambliss Ave NW
Suite B
Cleveland, TN 37311-3842

Phone

(423) 473-7200

Fax

(423) 473-7808

NPI assigned

Mar 3, 2010

Last updated

Mar 3, 2010By 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. Bruce Faerber, M.D.NPI 1407878267

Title

Doctor

Phone

(423) 473-7200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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.

• Bruce William Faerber, MD

  • Ophthalmology Physician
  • Cleveland, TN
  • NPI 1407878267
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1205159365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVENUE",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-473-7200",
            "fax_number": "423-473-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHAMBLISS AVE NW",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113842",
            "telephone_number": "423-473-7200",
            "fax_number": "423-473-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "FAERBER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "423-473-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "0000021886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ocoee Behavioral Health LLPC
• Ocoee Chiropractic PLLC
• Ocoee Counseling Services, PLLC
• Ocoee Dental Care PLLC
• Ocoee Hospital Corporation (Bradley Memorial Hospital)
• Ocoee Hospital Corporation (Bradley Memorial Hospital)
• Ocoee Medical LLC
• Ocoee OB/GYN, PC
• Ocoee Oral Surgery PC

• Ophthalmology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.