Organization Active NPI

Pensacola Vision Center Inc

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1649529439
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PENSACOLA VISION CENTER INC
Practice address
6400 N Davis Hwy
Pensacola, FL 32504-6903
Phone
(850) 476-6100
Fax
(850) 471-1155
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Barry Jay SteinNPI 1619983806
Title
OD
Phone
(850) 476-6100

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FL Primary

Addresses

Primary practice location

6400 N Davis Hwy
Pensacola, FL 32504-6903

Mailing address

6400 N Davis Hwy
Pensacola, FL 32504-6903
Phone (850) 476-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160917000006 FL Part B Supplier - Clinic/Group Practice 3678860715 Receives reassigned benefits from 2 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

6400 N Davis Hwy
Ste 1
Pensacola, FL 32504
Phone (850) 476-6100

6400 N Davis Hwy
Pensacola, FL 32504
Phone (850) 476-6100

Practitioners & affiliated clinicians

Practitioners 4

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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1649529439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046903",
            "telephone_number": "850-476-6100",
            "fax_number": "850-471-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046903",
            "telephone_number": "850-476-6100",
            "fax_number": "850-471-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "850-476-6100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.