Active NPI
Family Eyecare Center
- Optometrist
- Port Charlotte, FL
National Provider Identifier
1386782506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FAMILY EYECARE CENTER
- Practice address
- 21178 Olean Blvd
Port Charlotte, FL 33952-6728 - Phone
- (941) 629-1090
- Fax
- (941) 629-1196
- NPI assigned
- Feb 1, 2007
- Last updated
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael John Wolf
- Title
- Optician
- Phone
- (941) 629-1090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
21178 Olean Blvd
Port Charlotte, FL 33952-6728
Mailing address
21178 Olean Blvd
Port Charlotte, FL 33952-6728
Phone (941) 629-1090
National Provider Directory
National Provider DirectoryLocations
21178 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 629-1090
Practitioners & affiliated clinicians
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Port Charlotte, FL
- NPI 1205043684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1386782506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21178 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526728",
"telephone_number": "941-629-1090",
"fax_number": "941-629-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21178 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526728",
"telephone_number": "941-629-1090",
"fax_number": "941-629-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYECARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "941-629-1090",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
- Daniel Emeka Ezekwudo, M.D
- Thomas M Fabian, MD
- Jason Thomas Faipler, D.C.
- Family Dentistry of Port Charlotte
- Family Extended Care of Punta Gorda, Inc (Vick Street Manor)
- Family Eyecare Center, LLC.
- Family Foot and Leg Center PA
- Family Health Centers of Southwest Florida Inc
- Family Health Centers of Southwest Florida, Inc.
- Family Health Centers of Southwest Florida, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.