Organization Active NPI

Island Eyecare PA

  • Optometrist
  • Fleming Island, FL
National Provider Identifier
1649470766
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ISLAND EYECARE PA
Practice address
1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Phone
(904) 278-1760
Fax
(904) 278-1730
NPI assigned
Jul 18, 2007
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Kendra J Tamsett-Schmidt, O.D.NPI 1164539839
Title
President
Phone
(904) 278-1760

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

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401

Mailing address

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Phone (904) 278-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000365 FL Part B Supplier - Clinic/Group Practice 4183788839 Receives reassigned benefits from 4 practitioners
Practice locations: Fleming Island, FL

National Provider Directory

National Provider Directory

Locations

1515 Business Center Dr
Ste 4
Orange Park, FL 32003
Phone (904) 278-1760

Practitioners & affiliated clinicians

Practitioners 4

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1649470766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "TAMSETT-SCHMIDT",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-278-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.