Active NPI
Okeechobee Value Specs, LLC
- Optometrist
- Okeechobee, FL
National Provider Identifier
1902384126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3776
- Legal business name
- OKEECHOBEE VALUE SPECS, LLC
- Practice address
- 1611 S Parrott Ave
Okeechobee, FL 34974-6180 - Phone
- (863) 357-2250
- Fax
- (863) 357-2254
- NPI assigned
- Jul 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Bartels, OD
- Title
- Owner/Doctor
- Phone
- (863) 763-3937
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3776 | FL | Primary |
Addresses
Primary practice location
1611 S Parrott Ave
Okeechobee, FL 34974-6180
Mailing address
1611 S Parrott Ave
Okeechobee, FL 34974-6180
Phone (863) 763-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190201002054 | FL | Part B Supplier - Clinic/Group Practice | 1658618350 |
Receives reassigned benefits from 2 practitioners Practice locations: Okeechobee, FL |
National Provider Directory
National Provider DirectoryLocations
1611 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 357-2250
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1902384126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 S PARROTT AVE",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349746180",
"telephone_number": "863-763-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S PARROTT AVE",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349746180",
"telephone_number": "863-357-2250",
"fax_number": "863-357-2254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKEECHOBEE VALUE SPECS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "BARTELS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "863-763-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.