Organization Active NPI

Crestview Vision Associates, LLC

Doing business as Family Vision of Crestview

  • Optometrist
  • Crestview, FL
National Provider Identifier
1558127977
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CRESTVIEW VISION ASSOCIATES, LLC
Doing business as
Family Vision of Crestview
Practice address
535 S Ferdon Blvd Ste B
Crestview, FL 32536-4446
Phone
(850) 331-3918
Fax
(850) 634-6127
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
David Cox, DONPI 1790334332
Title
Manager
Phone
(503) 313-9188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Optician 156FX1800X

Addresses

Primary practice location

535 S Ferdon Blvd Ste B
Crestview, FL 32536-4446

Mailing address

535 S Ferdon Blvd Ste B
Crestview, FL 32536-4446
Phone (850) 331-3918

Other names 1

  • Family Vision of Crestview Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1558127977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S FERDON BLVD STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364446",
            "telephone_number": "850-331-3918",
            "fax_number": "850-634-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S FERDON BLVD STE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364446",
            "telephone_number": "850-331-3918",
            "fax_number": "850-634-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-313-9188",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision of Crestview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.