Eye Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EYE CARE LLC

Practice address

721 Cabin Creek Dr
Hopewell, VA 23860-5350

Phone

(804) 715-2424

Fax

(804) 504-5573

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Shamario Blakes

Title

Owner

Phone

(804) 898-8722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1487282729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CABIN CREEK DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605350",
            "telephone_number": "804-715-2424",
            "fax_number": "804-504-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CABIN CREEK DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605350",
            "telephone_number": "804-715-2424",
            "fax_number": "804-504-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "BLAKES",
        "authorized_official_first_name": "SHAMARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-898-8722"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Devere Farr, LCSW,CSOTP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.