Organization Active NPI

World Vision Centers III Inc

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1457337792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WORLD VISION CENTERS III INC
Practice address
10800 Pines Blvd
Suite # 7
Pembroke Pines, FL 33026-5216
Phone
(954) 885-8488
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rusk S Harris
Title
President
Phone
(954) 885-8488

Specialties & licenses 1

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

Addresses

Primary practice location

10800 Pines Blvd
Suite # 7
Pembroke Pines, FL 33026-5216

Mailing address

10800 Pines Blvd
Suite # 7
Pembroke Pines, FL 33026
Phone (954) 885-8488

Other identifiers 1

IdentifierTypeStateIssuer
920528784811OtherFLCCN

National Provider Directory

National Provider Directory

Locations

8828 W State Road 84
Davie, FL 33324
Phone (954) 916-8484

10800 Pines Blvd
Ste 7
Pembroke Pines, FL 33026
Phone (954) 704-4345

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457337792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PINES BLVD",
            "address_2": "SUITE # 7",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-885-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PINES BLVD",
            "address_2": "SUITE # 7",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265216",
            "telephone_number": "954-885-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD VISION CENTERS III INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RUSK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-885-8488"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "920528784811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.