NPIMap

Organization Active NPI

Regency Eye Care LLC

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1912151606
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4219 Issued in FL
Legal business name
REGENCY EYE CARE LLC
Practice address
9501 Arlington Expy
340E
Jacksonville, FL 32225-8200
Phone
(904) 724-7707
NPI assigned
Nov 8, 2008
Last updated
Sep 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
David Erik Falden, ODNPI 1952593527
Title
Manager
Phone
(954) 682-4253

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
Optometrist 152W00000X OPC 4176 FL
Optometrist 152W00000X OPC 4219 FL Primary

Addresses

Primary practice location

9501 Arlington Expy
340E
Jacksonville, FL 32225-8200

Mailing address

9501 Arlington Expy
340E
Jacksonville, FL 32225-8200
Phone (904) 724-7707

National Provider Directory

National Provider Directory

Locations

9501 Arlington Expy
#340E
Jacksonville, FL 32225
Phone (904) 724-7707

Practitioners & affiliated clinicians

Practitioners 5

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": "1226102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1912151606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ARLINGTON EXPY",
            "address_2": "340E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258200",
            "telephone_number": "904-724-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ARLINGTON EXPY",
            "address_2": "340E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258200",
            "telephone_number": "904-724-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-08",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "FALDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-682-4253",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4176",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.