Organization Active NPI

Simply See LLC

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1386241297
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIMPLY SEE LLC
Practice address
1573 S Wickham Rd
Melbourne, FL 32904-3540
Phone
(321) 220-0394
Fax
(239) 232-8881
NPI assigned
Oct 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Cortez Lewis, ODNPI 1164950820
Title
Owner
Phone
(321) 220-0394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1573 S Wickham Rd
Melbourne, FL 32904-3540

Mailing address

1573 S Wickham Rd
Melbourne, FL 32904-3540
Phone (321) 220-0394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021002675 FL Part B Supplier - Clinic/Group Practice 1759701295 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

1573 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 220-0394

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1386241297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "321-220-0394",
            "fax_number": "239-232-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043540",
            "telephone_number": "321-220-0394",
            "fax_number": "239-232-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CORTEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-220-0394",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.