Organization Active NPI

Christine Y Blick OD PA

Doing business as Envision Eyecare

  • Optometrist
  • Celebration, FL
National Provider Identifier
1851492201
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHRISTINE Y BLICK OD PA
Doing business as
Envision Eyecare
Practice address
502 Celebration Ave
Celebration, FL 34747-4687
Phone
(407) 566-8585
Fax
(407) 566-8253
NPI assigned
Sep 26, 2006
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Christine Y Blick, ODNPI 1235341116
Title
Optometrist
Phone
(407) 566-8505

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

502 Celebration Ave
Celebration, FL 34747-4687

Mailing address

502 Celebration Ave
Celebration, FL 34747-4687
Phone (407) 588-8505

Other names 1

  • Envision Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000939 FL Part B Supplier - Clinic/Group Practice 0941198899 Receives reassigned benefits from 2 practitioners
Practice locations: Celebration, FL

National Provider Directory

National Provider Directory

Locations

502 Celebration Ave
Kissimmee, FL 34747
Phone (407) 566-8505

60 Riley Rd
Kissimmee, FL 34747
Phone (407) 566-8505

8074 S Orange Blossom Trl
Orlando, FL 32809
Phone (407) 851-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1851492201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CELEBRATION AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474687",
            "telephone_number": "407-588-8505",
            "fax_number": "407-566-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CELEBRATION AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474687",
            "telephone_number": "407-566-8585",
            "fax_number": "407-566-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE Y BLICK OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-566-8505",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.