Envision Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0001345 Issued in DE

Legal business name

ENVISION EYE CARE, LLC

Practice address

18756 Coastal Hwy
Unit #2
Rehoboth Beach, DE 19971-6155

Phone

(302) 645-4789

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By 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

Katherine J Miller, O.D.NPI 1932360856

Title

President

Phone

(302) 645-4789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Katherine Joyce Miller, O.D.

  • Optometrist
  • Rehoboth Beach, DE
  • NPI 1932360856
  Medicare reassignment Care Compare group NPD Authorized official
• Sam M Stumer, OD

  • Optometrist
  • Rehoboth Beach, DE
  • NPI 1881756476
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1336570811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18756 COASTAL HWY",
            "address_2": "UNIT #2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716155",
            "telephone_number": "302-645-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18756 COASTAL HWY",
            "address_2": "UNIT #2",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716155",
            "telephone_number": "302-645-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-645-4789",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.