Organization Active NPI

Kane Family Vision Center

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1295134179
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4948 Issued in FL
Legal business name
KANE FAMILY VISION CENTER
Practice address
2053 Sarno Rd
Melbourne, FL 32935-3973
Phone
(321) 254-2289
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Jennifer Scurlock Kane, OD
Title
Ceo
Phone
(321) 254-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4948 FL Primary

Addresses

Primary practice location

2053 Sarno Rd
Melbourne, FL 32935-3973

Mailing address

2053 Sarno Rd
Melbourne, FL 32935-3973

National Provider Directory

National Provider Directory

Locations

2053 Sarno Rd
Melbourne, FL 32935
Phone (321) 254-2289

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1295134179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353973",
            "telephone_number": "321-254-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE FAMILY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SCURLOCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-254-2289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.