Organization Active NPI

Family Eye Care & Vision Therapy

  • Optometrist
  • Osprey, FL
National Provider Identifier
1831372994
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2204 Issued in FL
Legal business name
FAMILY EYE CARE & VISION THERAPY
Practice address
694 S. Tamiami Trail
Osprey, FL 34229-9216
Phone
(941) 966-6700
Fax
(941) 966-6839
NPI assigned
Dec 12, 2007
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Carol Mendez-Orwasky, O.D.NPI 1386613529
Title
Owner
Phone
(941) 966-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2451 FL
Optometrist 152W00000X OPC2204 FL Primary

Addresses

Primary practice location

694 S. Tamiami Trail
Osprey, FL 34229-9216

Mailing address

694 S. Tamiami Trail
Osprey, FL 34229-9216
Phone (941) 966-6700

Other identifiers 1

IdentifierTypeStateIssuer
620290000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000572 FL Part B Supplier - Clinic/Group Practice 0547316028 Receives reassigned benefits from 2 practitioners
Practice locations: Osprey, FL

National Provider Directory

National Provider Directory

Locations

2301 Tamiami Trl N
Ste F
Nokomis, FL 34275
Phone (941) 966-6700

694 S Tamiami Trl
Osprey, FL 34229
Phone (813) 966-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1831372994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 S. TAMIAMI TRAIL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299216",
            "telephone_number": "941-966-6700",
            "fax_number": "941-966-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 S. TAMIAMI TRAIL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299216",
            "telephone_number": "941-966-6700",
            "fax_number": "941-966-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE & VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-ORWASKY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-966-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2451",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620290000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.