Organization Active NPI

Van Eye Optometry

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1710336961
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4689 Issued in FL
Legal business name
VAN EYE OPTOMETRY
Practice address
9982 Glades Rd
Suite G1
Boca Raton, FL 33434-3913
Phone
(561) 558-9965
Fax
(561) 558-9512
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Dr. Richard Q Van, OD
Title
Owner
Phone
(561) 558-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4689 FL Primary

Addresses

Primary practice location

9982 Glades Rd
Suite G1
Boca Raton, FL 33434-3913

Mailing address

9982 Glades Rd
Suite G1
Boca Raton, FL 33434-3913
Phone (561) 558-9965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1710336961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9982 GLADES RD",
            "address_2": "SUITE G1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343913",
            "telephone_number": "561-558-9965",
            "fax_number": "561-558-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9982 GLADES RD",
            "address_2": "SUITE G1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343913",
            "telephone_number": "561-558-9965",
            "fax_number": "561-558-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN EYE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-558-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.