Organization Active NPI

Mobile Eyecare Associates, PA

  • Optometrist
  • Sunrise, FL
National Provider Identifier
1609010602
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OB3169 Issued in FL
Legal business name
MOBILE EYECARE ASSOCIATES, PA
Practice address
10284 NW 47TH St
Sunrise, FL 33351-7967
Phone
(954) 578-3732
Fax
(954) 575-0000
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Robert Chess
Title
Administrator
Phone
(954) 578-3732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OB3169 FL Primary

Addresses

Primary practice location

10284 NW 47TH St
Sunrise, FL 33351-7967

Mailing address

10284 NW 47TH St
Sunrise, FL 33351-7967
Phone (954) 578-3732

National Provider Directory

National Provider Directory

Locations

10284 NW 47th St
Sunrise, FL 33351
Phone (954) 349-6068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1609010602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "954-578-3732",
            "fax_number": "954-575-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "954-578-3732",
            "fax_number": "954-575-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYECARE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "CHESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-578-3732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OB3169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.