Organization Active NPI

Envision Eyewear, LLC

  • Optometrist
  • Largo, FL
National Provider Identifier
1255714200
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ME61395 Issued in FL
Legal business name
ENVISION EYEWEAR, LLC
Doing business as
Envision Eyewear
Practice address
1250 Belcher Rd S
Largo, FL 33771-5213
Phone
(727) 535-2300
Fax
(727) 535-2330
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Joseph J Ross, MD
Title
Owner
Phone
(727) 535-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ME61395 FL Primary

Addresses

Primary practice location

1250 Belcher Rd S
Largo, FL 33771-5213

Mailing address

PO Box 773430
Ocala, FL 34477-3430
Phone (727) 535-2300

Other names 1

  • Envision Eyewear Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Envision Eyewear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1255714200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773430",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344773430",
            "telephone_number": "727-535-2300",
            "fax_number": "727-535-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715213",
            "telephone_number": "727-535-2300",
            "fax_number": "727-535-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-535-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "ME61395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.