Organization Active NPI

Family Vision Center P.a.

  • Optometrist
  • Greenacres, FL
National Provider Identifier
1336289529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2875 Issued in FL
Legal business name
FAMILY VISION CENTER P.A.
Practice address
6802 Forest Hill Blvd
Greenacres, FL 33413-3353
Phone
(561) 439-2020
Fax
(561) 642-0445
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lori Ann Mazza, O.D.NPI 1154393098
Title
President
Phone
(561) 439-2020

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 2875 FL Primary

Addresses

Primary practice location

6802 Forest Hill Blvd
Greenacres, FL 33413-3353

Mailing address

6802 Forest Hill Blvd
Greenacres, FL 33413-3353
Phone (561) 439-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000743 FL Part B Supplier - Clinic/Group Practice 7012980113 Receives reassigned benefits from 2 practitioners
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

6802 Forest Hill Blvd
Ste B
Greenacres, FL 33413
Phone (561) 434-3619

6802 Forest Hill Blvd
Greenacres, FL 33413
Phone (561) 439-2020

3175 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 439-2020

Practitioners & affiliated clinicians

Practitioners 4

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336289529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133353",
            "telephone_number": "561-439-2020",
            "fax_number": "561-642-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133353",
            "telephone_number": "561-439-2020",
            "fax_number": "561-642-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.