Envolve Vision of Florida, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

ENVOLVE VISION OF FLORIDA, INC.

Practice address

112 Zebulon Court
Rocky Mount, NC 27804-2420

Phone

(800) 334-3937

Fax

(888) 986-2823

NPI assigned

Nov 25, 2014

Organization subpart

Yes

Parent organization

CENCORP HEALTH SOLUTIONS, INCAs reported in NPPES

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

Authorized official

Name

Dr. David Michael Lavely, O.D.

Title

President & Ceo

Phone

(252) 544-9200

Specialties & licenses 1

Addresses

Other names 1

• Ocucare Systems, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1366849051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937",
            "fax_number": "888-986-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ZEBULON COURT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042420",
            "telephone_number": "800-334-3937",
            "fax_number": "888-986-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVOLVE VISION OF FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENCORP HEALTH SOLUTIONS, INC",
        "enumeration_date": "2014-11-25",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "LAVELY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "252-544-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocucare Systems, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Epiphany Mental Health Services, LLC
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• Sean M Epps, PAC
• Equipping the Community Organization, Inc.

• Point of Service in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.