NPIMap

Organization Active NPI

Capstone Eye Care Group of Florida LLC

  • Eyewear Supplier
  • Winter Park, FL
National Provider Identifier
1386159358
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CAPSTONE EYE CARE GROUP OF FLORIDA LLC
Practice address
110 S Orlando Ave Ste 11
Winter Park, FL 32789-3656
Phone
(407) 571-9165
NPI assigned
Dec 12, 2017
Organization subpart
Yes
Parent organization
CAPSTONE EYE CARE GROUP OF FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Jeff Butcher, OD
Title
Owner
Phone
(405) 317-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

110 S Orlando Ave Ste 11
Winter Park, FL 32789-3656

Mailing address

510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218
Phone (310) 868-7322

Other names 1

  • Pearle Vision - Winter Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capstone Eye Care Group of Florida LLC3 organizations share this tax ID, including this one
Part of
Capstone Eye Care Group of Florida LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 S Orlando Ave
Ste 11
Winter Park, FL 32789
Phone (407) 571-9165

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1386159358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE A4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218",
            "telephone_number": "310-868-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ORLANDO AVE STE 11",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893656",
            "telephone_number": "407-571-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE EYE CARE GROUP OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSTONE EYE CARE GROUP OF FLORIDA LLC",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-317-2140",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision - Winter Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.