Active NPI
Fec Mobile Eye Clinic, Inc
- Optometrist
- Mentor, OH
National Provider Identifier
1609076462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FEC MOBILE EYE CLINIC, INC
- Practice address
- 7200 Mentor Ave
Suite a
Mentor, OH 44060-7522 - Phone
- (440) 946-8758
- Fax
- (440) 946-0023
- NPI assigned
- Jul 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian J Kane, O.D.
- Title
- Owner
- Phone
- (440) 946-8758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
7200 Mentor Ave
Suite a
Mentor, OH 44060-7522
Mailing address
7200 Mentor Ave
Suite a
Mentor, OH 44060-7522
Phone (440) 946-8758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2312812 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
7200 Mentor Ave
Ste A
Mentor, OH 44060
Phone (440) 946-0009
37131 Euclid Ave
Ste A
Willoughby, OH 44094
Phone (440) 946-8758
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Painesville, OH
- NPI 1457450850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417996800000",
"number": "1609076462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 MENTOR AVE",
"address_2": "SUITE A",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607522",
"telephone_number": "440-946-8758",
"fax_number": "440-946-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 MENTOR AVE",
"address_2": "SUITE A",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607522",
"telephone_number": "440-946-8758",
"fax_number": "440-946-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEC MOBILE EYE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-20",
"last_updated": "2014-12-08",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-946-8758",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2312812",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.