Organization Active NPI

Insight Eye Care, LLC

  • Optometrist
  • Fort Payne, AL
National Provider Identifier
1720430275
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
191288MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161004001541 AL Part B Supplier - Clinic/Group Practice 4981992120 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Payne, AL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.