Earth Vision Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2886 Issued in FL

Legal business name

EARTH VISION EYE CARE INC

Practice address

5499 N Federal Hwy Ste E
Boca Raton, FL 33487-4993

Phone

(561) 988-0300

Fax

(561) 988-0350

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark W Pittaluga, O.D.NPI 1538127956

Title

President

Phone

(561) 988-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Wiliiam Pittaluga

  • Optometrist
  • Boca Raton, FL
  • NPI 1538127956
  Medicare reassignment NPD Authorized official
• Ira Berman, O.D.

  • Optometrist
  • Boca Raton, FL
  • NPI 1336172493
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1942484654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5499 N FEDERAL HWY STE E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874993",
            "telephone_number": "561-988-0300",
            "fax_number": "561-988-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5499 N FEDERAL HWY STE E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874993",
            "telephone_number": "561-988-0300",
            "fax_number": "561-988-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH VISION EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "PITTALUGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-988-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620863100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Z Eakin, CRNA
• Ear, Nose & Throat Physicians, PA
• Jacob William Earhart, MD
• Matthew Earhart, PA-C
• Jualeah Early, CNM
• East Boca Dental Implants&Prosthodontics
• East Boca Pharmacy, LLC
• East Boca Podiatry PA
• East Boca Raton Physicians Group, LLC
• East Coast Medical Associates, Inc

• Optometrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.