Mack Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MACK EYE CARE PA

Practice address

88 Blanding Blvd
Orange Park, FL 32073-2601

Phone

(904) 272-9433

NPI assigned

Jan 16, 2012

Last updated

Jan 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cindy Nennig Mack, ODNPI 1356434336

Title

Owner

Phone

(904) 272-9433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy Nennig Mack, OD

  • Optometrist
  • Orange Park, FL
  • NPI 1356434336
  Medicare reassignment Care Compare group NPD Authorized official
• Larry Garland Brown, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1952304032
  Medicare reassignment Care Compare group NPD
• Hewell Eaves, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1023270378
  Medicare reassignment Care Compare group NPD
• Harry David Weinstein, OD

  • Optometrist
  • Saint Johns, FL
  • NPI 1568540870
  Medicare reassignment Care Compare group NPD
• Miguel A Estrada, OD

  • Optometrist
  • Jacksonville, FL
  • NPI 1467545343
  Medicare reassignment NPD
• Pei-Wen Lawing, O.D.

  • Optometrist
  • Jacksonville, FL
  • NPI 1164855029
  Medicare reassignment NPD
• Richard N Berkun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
  • NPI 1588656169
  NPD (past)

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1508137084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732601",
            "telephone_number": "904-272-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732601",
            "telephone_number": "904-272-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACK EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "NENNIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-272-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Target Optical #4313)
• Yazan Raed Mohammad Maali, M.D.
• Nadeem Maalouli, M.D.
• Nicolas W. Mabardi, DMD
• William Macik III
• Cindy Nennig Mack, OD
• Tanisha Mack
• Amy Elizabeth Mackenzie, M.D.
• Karen Macpherson, PT, DPT
• Madame Omega's Hair & Wellness

• Optometrist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.