Family Vision Enterprises

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMILY VISION ENTERPRISES

Practice address

6201 N Front St Ste 119
Philadelphia, PA 19120-1541

Phone

(215) 927-2250

Fax

(215) 927-2293

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By 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. Juan E. Rodriguez, O.D.NPI 1720128408

Title

Optometrist

Phone

(215) 927-2250

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Juan E Rodriguez, O.D

  • Optometrist
  • Philadelphia, PA
  • NPI 1720128408
  Medicare reassignment NPD Authorized official
• Elsa I Martinez, O.D.

  • Optometrist
  • Newtown, PA
  • NPI 1801925441
  NPD (past)

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1235697061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 N FRONT ST STE 119",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201541",
            "telephone_number": "215-927-2250",
            "fax_number": "215-927-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N FRONT ST STE 119",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201541",
            "telephone_number": "215-927-2250",
            "fax_number": "215-927-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-927-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familyvision1@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6201 N Front St Ste 119",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191201541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Familyvision1@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6201 N Front St Ste 119",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191201541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Support Circle, Inc
• Family Support Circle, Inc.
• Family Support Coordination Inc
• Family Support Home Care Inc
• Family Support Services
• Family Wise LLC
• Familygrouphomecarellc (Home care agency)
• Christian Yeong Fan
• Juliana Guo Fan, MD
• Kevin Fan

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.