Active NPI
Insight Eye Care, LLC
- Optometrist
- Fort Payne, AL
National Provider Identifier
1720430275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- INSIGHT EYE CARE, LLC
- Practice address
- 1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545 - Phone
- (256) 845-5555
- Fax
- (256) 997-9310
- NPI assigned
- Jul 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Strogov, M.D.
- Title
- Managing Memberr
- Phone
- (908) 294-1014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545
Mailing address
1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545
Phone (256) 845-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191288 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
802 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-5555
1953 Gault Ave N
Fort Payne, AL 35967
Phone (256) 845-2020
1906 Glenn Blvd SW
Ste 100A
Fort Payne, AL 35968
Phone (256) 638-4411
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fort Payne, AL
- NPI 1316399447
-
- Optometrist
- Centre, AL
- NPI 1669852356
-
- Optometrist
- Southside, AL
- NPI 1770206369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1720430275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 GLENN BLVD SW STE 100-A",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683545",
"telephone_number": "256-845-5555",
"fax_number": "256-997-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 GLENN BLVD SW STE 100-A",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683545",
"telephone_number": "256-845-5555",
"fax_number": "256-997-9310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "STROGOV",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "MANAGING MEMBERR",
"authorized_official_telephone_number": "908-294-1014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191288",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.