Organization Active NPI

Family Eye Care Inc

Doing business as Family EyeCare Clinic

  • Optometrist
  • Painesville, OH
National Provider Identifier
1336322049
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYE CARE INC
Doing business as
Family EyeCare Clinic
Practice address
77 Normandy Dr
Painesville, OH 44077-1615
Phone
(440) 352-0616
Fax
(440) 352-0618
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Mr. Brian J Kane, OD
Title
Owner
Phone
(440) 352-0616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X OH

Addresses

Primary practice location

77 Normandy Dr
Painesville, OH 44077-1615

Mailing address

77 Normandy Dr
Painesville, OH 44077-1615
Phone (440) 352-0616

Other identifiers 1

IdentifierTypeStateIssuer
2211627MedicaidOH

Other names 1

  • Family EyeCare Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

77 Normandy Dr
Painesville, OH 44077
Phone (440) 352-0616

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1336322049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NORMANDY DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771615",
            "telephone_number": "440-352-0616",
            "fax_number": "440-352-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NORMANDY DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771615",
            "telephone_number": "440-352-0616",
            "fax_number": "440-352-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-352-0616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family EyeCare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.