NPIMap

Organization Active NPI

Vitrectomy Recovery Equipment

  • Durable Medical Equipment & Medical Supplies
  • St Augustine, FL
National Provider Identifier
1447696018
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITRECTOMY RECOVERY EQUIPMENT
Practice address
1509 W Windy Willow Dr
St Augustine, FL 32092-5094
Phone
(904) 230-5400
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mr. Carl Eugene BoxNPI 1992141758
Title
Vice President
Phone
(904) 230-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1509 W Windy Willow Dr
St Augustine, FL 32092-5094

Mailing address

1509 W Windy Willow Dr
St Augustine, FL 32092-5094
Phone (904) 230-5400

National Provider Directory

National Provider Directory
Tax ID family
Vitrectomy Recovery Equipment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1447696018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W WINDY WILLOW DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925094",
            "telephone_number": "904-230-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W WINDY WILLOW DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925094",
            "telephone_number": "904-230-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRECTOMY RECOVERY EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-230-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.