Blue Sky Eyewear LLC

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

DO 4976 Issued in FL

Legal business name

BLUE SKY EYEWEAR LLC

Practice address

811 Ridgewood Ave
Venice, FL 34285-7009

Phone

(941) 480-0300

Fax

(941) 485-8090

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Jean Vedral, OPTICIAN

Title

Manager

Phone

(941) 480-0300

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mark Anthony Johnson, MD

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1205803418
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1841360096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857009",
            "telephone_number": "941-485-8090",
            "fax_number": "941-480-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857009",
            "telephone_number": "941-480-0300",
            "fax_number": "941-485-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "VEDRAL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-480-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "DO 4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R. Blood, MD
• Hannah Rylee Bloom, PA-C
• Jacy Bloom, D.C. M.S.
• Blue Horizon Anesthesia
• Blue Horizon Anesthesia
• Blue Sky Mining Company LLC
• Frank Blum
• Brieanna M Blumenstein, ARNP
• Mary Michelle Bogen, DPM
• Socheatra P Bokach, P.A.C

• Technician/Technologist in Venice, FL
• Providers in Venice, FL by specialty
• Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.