Organization Active NPI

Florida Eyecare Consultants P.a.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1467788430
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4449 Issued in FL
Legal business name
FLORIDA EYECARE CONSULTANTS P.A.
Practice address
7480 NW 10TH PL
Plantation, FL 33313-5911
Phone
(954) 667-9316
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Graham Rasanen, OD
Title
Owner/Optometrist
Phone
(954) 667-9316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 4449 FL Primary

Addresses

Primary practice location

7480 NW 10TH PL
Plantation, FL 33313-5911

Mailing address

7480 NW 10TH PL
Plantation, FL 33313-5911
Phone (954) 667-9316

National Provider Directory

National Provider Directory

Locations

6863 Stirling Rd
Davie, FL 33314
Phone (954) 583-6700

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1467788430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 NW 10TH PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333135911",
            "telephone_number": "954-667-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 NW 10TH PL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333135911",
            "telephone_number": "954-667-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYECARE CONSULTANTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "RASANEN",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "954-667-9316",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.