Eyewear Center of Flagler County Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DO1099 Issued in FL

Legal business name

EYEWEAR CENTER OF FLAGLER COUNTY INC.

Practice address

50 Cypress Point Pkwy
Suite C3-4
Palm Coast, FL 32164-2500

Phone

(386) 446-2020

Fax

(386) 446-6098

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Craig Allan Henderson

Title

Master Optician

Phone

(386) 446-2020

Specialties & licenses 1

Addresses

Other names 1

• Craig's Eyewear Doing business as

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1346423902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE C3-4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-446-2020",
            "fax_number": "386-446-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE C3-4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-446-2020",
            "fax_number": "386-446-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR CENTER OF FLAGLER COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MASTER OPTICIAN",
        "authorized_official_telephone_number": "386-446-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DO1099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig's Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ethridge
• Ricot Etienne
• David Evans
• Extended Family of North Florida, LLC
• Eye-Style Optical
• F R Fruehan Family Practice Inc
• Richard Fabian, M.D.
• Arcangelo Faiella
• Faithangel Corp
• Joel Robert Fallon

• Durable Medical Equipment & Medical Supplies in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.