NPIMap

Organization Active NPI

Treasure Coast Eye Associates, PA

  • Eyewear Supplier
  • Vero Beach, FL
National Provider Identifier
1669664660
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC 3612 Issued in FL
Legal business name
TREASURE COAST EYE ASSOCIATES, PA
Practice address
333 17TH St
Ste. G
Vero Beach, FL 32960-5670
Phone
(772) 978-0845
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Brice A Roselli, O.D.NPI 1194768135
Title
Owner
Phone
(772) 978-0845

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
Eyewear Supplier 332H00000X OPC 3612 FL Primary

Addresses

Primary practice location

333 17TH St
Ste. G
Vero Beach, FL 32960-5670

Mailing address

333 17TH St
Ste. G
Vero Beach, FL 32960-5670
Phone (772) 978-0845

Other identifiers 1

IdentifierTypeStateIssuer
K4154OtherFLMEDICARE GROUP #

National Provider Directory

National Provider Directory
Tax ID family
Treasure Coast Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1669664660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE. G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-978-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE. G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605670",
            "telephone_number": "772-978-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSELLI",
        "authorized_official_first_name": "BRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-978-0845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC 3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "K4154",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.