NPIMap

Organization Active NPI

Treasure Coast Eye Associates PA

  • Optometrist
  • Vero Beach, FL
National Provider Identifier
1316098213
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3612 Issued in FL
Legal business name
TREASURE COAST EYE ASSOCIATES PA
Practice address
333 17TH St
Ste. G
Vero Beach, FL 32960-5670
Phone
(772) 978-0845
Fax
(866) 562-1117
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Brice A Roselli, O.D.NPI 1194768135
Title
Owner Optometrist
Phone
(772) 978-0845

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3612 FL Primary

Addresses

Primary practice location

333 17TH St
Ste. G
Vero Beach, FL 32960-5670

Mailing address

333 17TH St
Ste. G
Vero Beach, FL 32960-5670
Phone (772) 978-0845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000581 FL Part B Supplier - Clinic/Group Practice 1052400231 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Treasure Coast Eye Associates2 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1316098213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE. G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-978-0845",
            "fax_number": "866-562-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE. G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-978-0845",
            "fax_number": "866-562-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "BRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "772-978-0845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.