Envision Eyecare & Optique

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3619 Issued in FL

Legal business name

ENVISION EYECARE & OPTIQUE

Practice address

986 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766

Phone

(772) 621-8777

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brandi Marie Frey, ODNPI 1821019290

Title

Optometrist/President

Phone

(772) 621-8777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Marie Frey, O.D.

  • Optometrist
  • Port St Lucie, FL
  • NPI 1821019290
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1295970036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-621-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-621-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE & OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "772-621-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeena Dawn Endter, RDN, MS
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• James Edward English, LMHC, MS,CAS
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• Maria Entner
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• Lynne C. Erbe, O D
• Ahmet Bahadir Ergin, M.D.
• Amy Nicole Erickson, M.S., CCC-SLP
• Ernesto Barral MD, PA

• Optometrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.