Organization Active NPI

Ontarget Eyecare LLC

  • Optometrist
  • Palm Coast, FL
National Provider Identifier
1952093460
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ONTARGET EYECARE LLC
Practice address
5100 State Rte 100
Palm Coast, FL 32164
Phone
(386) 586-7924
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Dr. Damaris Benitez-Kreymborg, OD
Title
Optometrist
Phone
(786) 253-5922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5100 State Rte 100
Palm Coast, FL 32164

Mailing address

15 Llovera PL
Palm Coast, FL 32164-5868
Phone (786) 253-5922

National Provider Directory

National Provider Directory

Locations

5100 State Highway 100 E
Palm Coast, FL 32164
Phone (386) 313-3952

Practitioners & affiliated clinicians

Practitioners 1

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": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1952093460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LLOVERA PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645868",
            "telephone_number": "786-253-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 STATE RTE 100",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "386-586-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARGET EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "BENITEZ-KREYMBORG",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "786-253-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.