Accent Eye Care Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1063 Issued in FL

Legal business name

ACCENT EYE CARE CENTER

Practice address

404 E Ash St
Perry, FL 32347-2105

Phone

(850) 584-2200

Fax

(850) 584-4412

NPI assigned

Sep 15, 2006

Last updated

May 27, 2010By 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

Dr. Michael Andrew Walby, ODNPI 1700851631

Title

Owner

Phone

(850) 584-2200

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Michael Andrew Walby, OD

  • Optometrist
  • Perry, FL
  • NPI 1700851631
  Authorized official Same address or phone

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1386740884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MAGNOLIA RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323486118",
            "telephone_number": "850-223-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472105",
            "telephone_number": "850-584-2200",
            "fax_number": "850-584-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENT EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "WALBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-584-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084889100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Perry, FL
• Providers in Perry, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.