Active NPI
The Elite Vision Care, Inc
- Optometrist
- Boynton Beach, FL
National Provider Identifier
1457761561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- THE ELITE VISION CARE, INC
- Practice address
- 3615 W Woolbright Rd
Boynton Beach, FL 33436-7244 - Phone
- (561) 734-1887
- Fax
- (561) 736-8991
- NPI assigned
- Apr 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erin Michelle Case, OD
- Title
- Owner/Optometrist
- Phone
- (561) 734-1887
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FL | Primary | |
| Corneal and Contact Management Optometrist | 152WC0802X | FL |
Addresses
Primary practice location
3615 W Woolbright Rd
Boynton Beach, FL 33436-7244
Mailing address
3615 W Woolbright Rd
Boynton Beach, FL 33436-7244
Phone (561) 734-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620842800 | Medicaid | FL |
Other names 1
- Elite Vision Care
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Troy, MI
- NPI 1336915560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429228800000",
"number": "1457761561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367244",
"telephone_number": "561-734-1887",
"fax_number": "561-736-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367244",
"telephone_number": "561-734-1887",
"fax_number": "561-736-8991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ELITE VISION CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-29",
"last_updated": "2015-04-17",
"status": "A",
"authorized_official_last_name": "CASE",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "561-734-1887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620842800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.