Family Eyecare of Winter Haven PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1655 Issued in FL

Legal business name

FAMILY EYECARE OF WINTER HAVEN PLLC

Practice address

410 E Central Ave
Winter Haven, FL 33880-3050

Phone

(863) 293-0276

Fax

(863) 299-3172

NPI assigned

Mar 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Henne, ODNPI 1407847585

Title

Owner

Phone

(863) 293-0276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Kevin L Henne, OD

  • Optometrist
  • Winter Haven, FL
  • NPI 1407847585
  Medicare reassignment Care Compare group NPD Authorized official
• Kendall Beissinger, O.D

  • Optometrist
  • Winter Haven, FL
  • NPI 1457731416
  Medicare reassignment Care Compare group NPD
• Paul Hogue, OD

  • Optometrist
  • Winter Haven, FL
  • NPI 1457969255
  Medicare reassignment Care Compare group NPD
• Angela L Anderson Lindsay, OD

  • Optometrist
  • Avon Park, FL
  • NPI 1265426977
  NPD

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489276800000",
    "number": "1306387261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-293-0276",
            "fax_number": "863-299-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-293-0276",
            "fax_number": "863-299-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF WINTER HAVEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-12",
        "last_updated": "2017-03-12",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-293-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faatz, Inc
• William Fabian, PT, DPT
• Ashley Jessica Falk, M.D.
• Nathan P Falk, MD
• Family Extended Care of Winter Haven, Inc.
• Family Learning Solutions, LLC
• Family Medical Center Inc.
• Gina Renea Fann, APRN
• Cathy L Farrell, M.D.
• Paige E. Farrell, OT

• Optometrist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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.