Family Eye Care & Vision Therapy
Organization Active NPI Optometrist · Osprey, FL
NPI 1831372994 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1831372994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC2204 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Carol Mendez-Orwasky, O.D.
- Title
- Owner
- Phone
- (941) 966-6700
Practitioners 2
-
Carol Mendez-Orwasky, O.D.
-
Michael Craig Orwasky, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090924000572 | FL | Part B Supplier - Clinic/Group Practice | 0547316028 |
Receives reassigned benefits from 2 practitioners Practice locations: Osprey, FL |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC2204 | FL | Yes |
| Optometrist |
152W00000X | OPC2451 | FL |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620290000 | Medicaid | FL |
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.