Lake City Vision PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3103 Issued in FL

Legal business name

LAKE CITY VISION PA

Practice address

295 NW Commons Loop Ste 105
Lake City, FL 32055-7709

Phone

(386) 755-2400

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

William A Cole, O.D.NPI 1093867236

Title

President

Phone

(386) 755-2400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William A. Cole, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1093867236
  NPD (past) Authorized official

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1427426469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557709",
            "telephone_number": "386-755-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557709",
            "telephone_number": "386-755-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY VISION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-755-2400",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake City Regional Medical Group LLC
• Lake City Rehab LLC
• Lake City Spine & Injury, LLC
• Lake City Surgery Center, LLC
• Lake City Veteran'S Hospital
• Lake Citytherapeutic LLC
• Lake Shore Center for Aesthetics & Plastic Surgery PA
• Lake Shore Hma Medical Group LLC
• Lake Shore Hma, LLC
• Lake Shore Hma, LLC

• Optometrist in Lake City, FL
• Providers in Lake City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.