NPIMap

Organization Active NPI

Googly Eyes, Inc

  • Pediatric Optometrist
  • Merritt Island, FL
National Provider Identifier
1851695076
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OPC4319 Issued in FL
Legal business name
GOOGLY EYES, INC
Practice address
777 E Merritt Island Cswy
Ste 221
Merritt Island, FL 32952-3576
Phone
(321) 454-4800
Fax
(321) 454-2019
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Ivette Gonzalez, O.D.NPI 1588827141
Title
Owner
Phone
(321) 454-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WP0200X OPC4319 FL Primary

Addresses

Primary practice location

777 E Merritt Island Cswy
Ste 221
Merritt Island, FL 32952-3576

Mailing address

777 E Merritt Island Cswy
Ste 221
Merritt Island, FL 32952-3576
Phone (321) 454-4800

National Provider Directory

National Provider Directory

Locations

777 E Merritt Island Cswy
Ste 221
Merritt Island, FL 32952
Phone (321) 454-4800

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1851695076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MERRITT ISLAND CSWY",
            "address_2": "STE 221",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523576",
            "telephone_number": "321-454-4800",
            "fax_number": "321-454-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E MERRITT ISLAND CSWY",
            "address_2": "STE 221",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523576",
            "telephone_number": "321-454-4800",
            "fax_number": "321-454-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOGLY EYES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-454-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC4319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.