Eye Site Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2575 Issued in FL

Legal business name

EYE SITE VISION CENTER INC

Practice address

2344 N University Dr
Coral Springs, FL 33065-5122

Phone

(954) 344-3937

Fax

(954) 344-2434

NPI assigned

Dec 3, 2010

Last updated

Feb 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary E Goberville, OD

Title

Pres/Optometrist

Phone

(954) 344-3937

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Diaz

  • Optometrist
  • Lake Worth, FL
  • NPI 1407309008
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1316249824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655122",
            "telephone_number": "954-344-3937",
            "fax_number": "954-344-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655122",
            "telephone_number": "954-344-3937",
            "fax_number": "954-344-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "GOBERVILLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES/OPTOMETRIST",
        "authorized_official_telephone_number": "954-344-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2575",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FM",
            "license": "OPC2575",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC2575",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC2575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ewald, APRN
• Excelsior Consulting Health Solutions Inc
• Experthealth Care Services Inc
• Extended Kids Care, Inc.
• Eye Contact West, Inc.
• F. Leigh Phillips, III, MD, PA
• Fabiola M. Liendo, DDS, Corp. (Sawgrass Dental Arts)
• Craig Steven Fabrikant, PH.D.
• Catherine Facciolli, L.AC
• Cidney Factor, PA-C

• Optometrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.