Family Eye Center South LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC-1885 Issued in FL

Legal business name

FAMILY EYE CENTER SOUTH LLC

Practice address

5125 S. Lakeland Dr
Suite 1
Lakeland, FL 33813-2578

Phone

(863) 644-7773

Fax

(863) 646-2809

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Anthony B. Trawick, O.D.NPI 1720078926

Title

Owner/ Managing Member

Phone

(863) 644-7773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Anthony B Trawick, OD

  • Optometrist
  • Lakeland, FL
  • NPI 1720078926
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1952604290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 S. LAKELAND DR",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132578",
            "telephone_number": "863-644-7773",
            "fax_number": "863-646-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S. LAKELAND DR",
            "address_2": "SUITE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132578",
            "telephone_number": "863-644-7773",
            "fax_number": "863-646-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CENTER SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/ MANAGING MEMBER",
        "authorized_official_telephone_number": "863-644-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Falla, DPT
• Families First of Florida, LLC
• Family Chiropractic Health Center
• Family Chiropractic Health Center
• Family Counseling of Lakeland, LLC
• Family Life Counseling Center
• Family Psychological Services of Lakeland, LLC
• Siuhung Fan, D.D.S.
• Jeanne-Marie Fanelli, MD
• Kammna B Farag

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.