Organization Active NPI

Eye Worx, LLC

Doing business as eyes inc.

  • Optometrist
  • Millsboro, DE
National Provider Identifier
1245707918
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE WORX, LLC
Doing business as
eyes inc.
Practice address
28544 Dupont Blvd Unit 1
Millsboro, DE 19966-4792
Phone
(302) 934-9679
Fax
(302) 934-5377
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Jessica Vanek, O.D.NPI 1578753984
Title
Optometrist
Phone
(302) 934-9679

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

28544 Dupont Blvd Unit 1
Millsboro, DE 19966-4792

Mailing address

28544 Dupont Blvd Unit 1
Millsboro, DE 19966-4792
Phone (302) 934-9679

Other names 1

  • eyes inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204000338 DE Part B Supplier - Clinic/Group Practice 3072857945 Receives reassigned benefits from 2 practitioners
Practice locations: Millsboro, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2337446Eye Worx, LLC28544 Dupont Blvd. Unit 1, Millsboro, DE 19966Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

32500 Blackwater Rd
Frankford, DE 19945

28544 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 934-9679

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1245707918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28544 DUPONT BLVD UNIT 1",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664792",
            "telephone_number": "302-934-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28544 DUPONT BLVD UNIT 1",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664792",
            "telephone_number": "302-934-9679",
            "fax_number": "302-934-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE WORX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "VANEK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "302-934-9679",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyes inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.