NPIMap

Organization Active NPI

Sure Vision Eye Care LLC

  • Optometrist
  • Niceville, FL
National Provider Identifier
1447580071
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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.NPI 1124351549
Title
Owner/Practitioner
Phone
(850) 678-8876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4498 FL Primary

Addresses

Primary practice location

1187 John Sims Pkwy E
Niceville, FL 32578-2752

Mailing address

1187 John Sims Pkwy E
Niceville, FL 32578-2752
Phone (850) 678-8876

National Provider Directory

National Provider Directory

Locations

1187 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 678-0099

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.

NPI Registry JSON

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": []
}

Other providers in Niceville, FL

Sources for this page

  • 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.