NPIMap

Organization Active NPI

Vitrectomy Recovery Equipment

  • Durable Medical Equipment & Medical Supplies
  • St Augustine, FL
National Provider Identifier
1811261969
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITRECTOMY RECOVERY EQUIPMENT
Practice address
1509 W Windy Willow Dr
St Augustine, FL 32092-5094
Phone
(904) 230-5400
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Mrs. Diane H. Box
Title
Owner
Phone
(904) 230-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1509 W Windy Willow Dr
St Augustine, FL 32092-5094

Mailing address

1509 W Windy Willow Dr
St Augustine, FL 32092-5094
Phone (904) 230-5400

National Provider Directory

National Provider Directory
Tax ID family
Vitrectomy Recovery Equipment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1811261969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W WINDY WILLOW DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925094",
            "telephone_number": "904-230-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W WINDY WILLOW DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925094",
            "telephone_number": "904-230-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRECTOMY RECOVERY EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-230-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.