Eye Site Vision Center II, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2575 Issued in FL

Legal business name

EYE SITE VISION CENTER II, INC

Practice address

2490 N Federal Hwy
Lighthouse Point, FL 33064-6812

Phone

(954) 943-3779

Fax

(954) 943-3879

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gary E Goberville, ODNPI 1346233780

Title

Pres/Optometrist

Phone

(954) 943-3779

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary E Goberville, O.D

  • Optometrist
  • Boynton Beach, FL
  • NPI 1346233780
  NPD (past) Authorized official
• Natalie Diaz

  • Optometrist
  • Lake Worth, FL
  • NPI 1407309008
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1720380389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646812",
            "telephone_number": "954-943-3779",
            "fax_number": "954-943-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646812",
            "telephone_number": "954-943-3779",
            "fax_number": "954-943-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE VISION CENTER II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "GOBERVILLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES/OPTOMETRIST",
        "authorized_official_telephone_number": "954-943-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2575",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC2575",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC2575",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC2575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.