Organization Active NPI

Okeechobee Value Specs, LLC

  • Optometrist
  • Okeechobee, FL
National Provider Identifier
1902384126
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3776 Issued in FL
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

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Charles Bartels, ODNPI 1184653768
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20190201002054 FL Part B Supplier - Clinic/Group Practice 1658618350 Receives reassigned benefits from 2 practitioners
Practice locations: Okeechobee, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.