Pro Vision Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1971 Issued in CO

Legal business name

PRO VISION EYECARE PLLC

Practice address

7500 S University Blvd
Suite 104
Centennial, CO 80122-3194

Phone

(720) 427-4497

NPI assigned

Nov 17, 2010

Last updated

Apr 26, 2011By 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

Mr. Eddy M. Najjar, ODNPI 1457591786

Title

Owner

Phone

(720) 427-4497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Eddy Moussa Najjar, O.D.

  • Optometrist
  • Centennial, CO
  • NPI 1457591786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1619279064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 S UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223194",
            "telephone_number": "720-427-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 S UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223194",
            "telephone_number": "720-427-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "NAJJAR",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-427-4497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Centennial, CO
• Providers in Centennial, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.