Organization Active NPI

Imperial Vision Center, Inc

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1861859571
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3494 Issued in FL
Legal business name
IMPERIAL VISION CENTER, INC
Practice address
19605 State Road 7 Ste D
Boca Raton, FL 33498-4767
Phone
(561) 451-0524
Fax
(561) 451-0788
NPI assigned
Jan 26, 2016
Last updated
Feb 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Authorized official

Name
Dr. Raquel Moncrieffe, OD
Title
Opometrist/ Owner
Phone
(561) 451-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3494 FL Primary

Addresses

Primary practice location

19605 State Road 7 Ste D
Boca Raton, FL 33498-4767

Mailing address

19605 State Road 7 Ste D
Boca Raton, FL 33498-4767
Phone (561) 451-0524

National Provider Directory

National Provider Directory

Locations

19605 State Road 7
Ste D
Boca Raton, FL 33498
Phone (561) 451-0524

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1861859571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19605 STATE ROAD 7 STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984767",
            "telephone_number": "561-451-0524",
            "fax_number": "561-451-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19605 STATE ROAD 7 STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984767",
            "telephone_number": "561-451-0524",
            "fax_number": "561-451-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "MONCRIEFFE",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OPOMETRIST/ OWNER",
        "authorized_official_telephone_number": "561-451-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.