Organization Active NPI

LC Eyecare Inc

  • Optometrist
  • Port Charlotte, FL
National Provider Identifier
1588429211
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LC EYECARE INC
Practice address
18500 Veterans Blvd Unit 4
Port Charlotte, FL 33954-1035
Phone
(941) 743-7449
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Elena Lopez Chan, ODNPI 1265099154
Title
President
Phone
(305) 772-9565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

18500 Veterans Blvd Unit 4
Port Charlotte, FL 33954-1035

Mailing address

2623 SW 4TH LN
Cape Coral, FL 33991-1118
Phone (305) 772-9565

Other practice location 1

1631 Del Prado Blvd S Ste 407
Cape Coral, FL 33990-6741
Phone (239) 800-6104

National Provider Directory

National Provider Directory

Locations

1631 Del Prado Blvd S
Ste 407
Cape Coral, FL 33990
Phone (239) 800-6104

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": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1588429211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SW 4TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911118",
            "telephone_number": "305-772-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 VETERANS BLVD UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541035",
            "telephone_number": "941-743-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Del Prado Blvd S Ste 407",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339906741",
            "country_code": "US",
            "telephone_number": "239-800-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LC EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ CHAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-772-9565",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.