Organization Active NPI

Patrick Family Eye Care LLC

  • Optometrist
  • Patrick AFB, FL
National Provider Identifier
1962232959
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PATRICK FAMILY EYE CARE LLC
Doing business as
Patrick Family Eye Care LLC
Practice address
1221 S Patrick Dr BLDG 1364
Patrick AFB, FL 32925-3623
Phone
(321) 783-5580
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Kevin Joseph Hrabinski, ODNPI 1649395708
Title
Optometrist / Owner
Phone
(908) 229-6655

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 Primary

Addresses

Primary practice location

1221 S Patrick Dr BLDG 1364
Patrick AFB, FL 32925-3623

Mailing address

1221 S Patrick Dr BLDG 1364
Patrick AFB, FL 32925-3623
Phone (908) 229-6655

Other names 1

  • Patrick Family Eye Care LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905004885 FL Part B Supplier - Clinic/Group Practice 2163962069 Receives reassigned benefits from 1 practitioner
Practice locations: Patrick AFB, FL

National Provider Directory

National Provider Directory

Locations

1221 S Patrick Dr
Bldg 1364
Patrick Air Force Base, FL 32925
Phone (321) 783-5580

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1962232959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S PATRICK DR BLDG 1364",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253623",
            "telephone_number": "908-229-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S PATRICK DR BLDG 1364",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253623",
            "telephone_number": "321-783-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "HRABINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "908-229-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Family Eye Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Patrick AFB, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.