Ideal-Eyes Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1931 Issued in SC

Legal business name

IDEAL-EYES EYE CARE LLC

Practice address

450 Azalea Square Blvd
Summerville, SC 29483-7321

Phone

(843) 821-0961

Fax

(843) 851-6938

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Brooke Fazzary, O.D.

Title

President/Owner

Phone

(607) 228-7179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1487198347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MEETING ST",
            "address_2": "APT 303",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294037807",
            "telephone_number": "607-228-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 AZALEA SQUARE BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837321",
            "telephone_number": "843-821-0961",
            "fax_number": "843-851-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL-EYES EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "FAZZARY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "607-228-7179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Casey Hynick
• John Joseph Iannace, DC
• Robert S Iannace, D.C.
• Bianca Marie Iberle, DC
• Erich Karl Iberle, MS BCBA
• Dinoca Ann Ihrig, LPC M.ED. NCC GCFD
• Imagine Physical Therapy Cane Bay
• Natalie Forsberg Inabnett, PA-C
• Heather Lee Inch, CRNP
• Ingenious Medical Practices, LLC

• Optometrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.