Active NPI
Family Eyecare, Inc.
- Optometrist
- Mentor, OH
National Provider Identifier
1740489442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4751
- Legal business name
- FAMILY EYECARE, INC.
- Practice address
- 7200 Mentor Ave
Mentor, OH 44060-7522 - Phone
- (440) 946-8809
- Fax
- (440) 269-7942
- NPI assigned
- Jul 12, 2007
- 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
- Brian Jeffery Kane, O.D.
- Title
- President
- Phone
- (440) 946-8809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4751 | OH | Primary |
Addresses
Primary practice location
7200 Mentor Ave
Mentor, OH 44060-7522
Mailing address
77 Normandy Dr
Painesville, OH 44077-1615
Phone (440) 352-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104896 | Medicaid | OH |
Other names 1
- Family EyeCare Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Painesville, OH
- NPI 1457450850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569283200000",
"number": "1740489442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 NORMANDY DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440771615",
"telephone_number": "440-352-0616",
"fax_number": "403-520-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607522",
"telephone_number": "440-946-8809",
"fax_number": "440-269-7942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2019-09-24",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-946-8809",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "4751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104896",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family EyeCare Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.