Organization Active NPI

Eye Express, Inc

  • Optometrist
  • Bartow, FL
National Provider Identifier
1235228669
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC931 Issued in FL
Legal business name
EYE EXPRESS, INC
Practice address
1214 N. Broadway
Bartow, FL 33830-3343
Phone
(863) 534-2020
Fax
(863) 534-3674
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Stephen F. Phillips, OD
Title
Owner
Phone
(863) 299-8908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC931 FL Primary

Addresses

Primary practice location

1214 N. Broadway
Bartow, FL 33830-3343

Mailing address

215 1St St N
Winter Haven, FL 33881-4537
Phone (863) 299-8908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1235228669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814537",
            "telephone_number": "863-299-8908",
            "fax_number": "863-299-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N. BROADWAY",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303343",
            "telephone_number": "863-534-2020",
            "fax_number": "863-534-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE EXPRESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-299-8908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.