Sure Vision Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4498 Issued in FL

Legal business name

SURE VISION EYE CARE LLC

Practice address

1187 John Sims Pkwy E
Niceville, FL 32578-2752

Phone

(850) 678-8876

Fax

(850) 729-8787

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Leigh Brenci, O.D.

Title

Owner/Practitioner

Phone

(850) 678-8876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1447580071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 JOHN SIMS PKWY E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782752",
            "telephone_number": "850-678-8876",
            "fax_number": "850-729-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 JOHN SIMS PKWY E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782752",
            "telephone_number": "850-678-8876",
            "fax_number": "850-729-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE VISION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BRENCI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "850-678-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Striedel
• Casi B Stubbs, DMD
• Cheryl A Stubbs, CCC SLP
• Subsecondllc
• Rebecca Lynn Sulack, APRN
• Patti Sue Swenson-Abraham, LCSW
• Roxanne Szymanski, RBT
• Alex Szymborski, DMD
• Nigist Tadesse, DDS
• Brooke Haddock Talley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.