Blue Eyed Ocean PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP3428 Issued in FL

Legal business name

BLUE EYED OCEAN PLLC

Doing business as

Hackett Holistic Health

Practice address

108 Intracoastal Pointe Dr
Suite 100
Jupiter, FL 33477-5036

Phone

(561) 632-4777

NPI assigned

Jan 26, 2016

Last updated

Jan 26, 2016By 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. Tracy L Hackett, A.P., DOM, L.AC.

Title

President

Phone

(561) 632-4777

Specialties & licenses 1

Addresses

Other names 1

• Hackett Holistic Health Doing business as

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1316304983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S US HIGHWAY 1",
            "address_2": "UNIT E102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334778436",
            "telephone_number": "561-632-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-632-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE EYED OCEAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-632-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "A.P., DOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP3428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackett Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Elaine Blankenship
• Marissa Blankstein
• Philip J Blatt, PT
• Linda Allyn Block, D.P.M
• Bloom Health & Wellness, LLC
• Blue Water Doctors of Jupiter, LLC
• Taylor Marie Bock, PHARM. D.
• Barbara J Boetsch, MSPT
• Eliza Bomhardt
• Maristella Bona

• Health Service Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.