Serenity Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002027 Issued in VA

Legal business name

SERENITY EYE CARE PC

Doing business as

Justin-Veni and Terri-Ann Echague

Practice address

8853 Woodgrove Ridge CT
Boynton Beach, FL 33473-4872

Phone

(964) 593-0902

NPI assigned

Apr 11, 2011

Last updated

Feb 23, 2022By 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. Terri-Ann Bailey Echague, O.D.NPI 1952557555

Title

President

Phone

(954) 593-0902

Specialties & licenses 1

Addresses

Other names 1

• Justin-Veni and Terri-Ann Echague Doing business as

Locations

Practitioners 1

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.

• Terri-Ann Bailey Echague, O.D.

  • Optometrist
  • Weston, FL
  • NPI 1952557555
  Authorized official Same address or phone

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1538459532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8853 WOODGROVE RIDGE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734872",
            "telephone_number": "964-593-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8853 WOODGROVE RIDGE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734872",
            "telephone_number": "964-593-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "ECHAGUE",
        "authorized_official_first_name": "TERRI-ANN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-593-0902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justin-Veni and Terri-Ann Echague",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Justin-Veni and Terri-Ann Echague",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.