Active NPI
Nationwide Vision Center, LLC
- Optician
- Clearwater, FL
National Provider Identifier
1972027928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- NATIONWIDE VISION CENTER, LLC
- Practice address
- 2679 Gulf to Bay Blvd Ste 560&570
Clearwater, FL 33759-4947 - Phone
- (727) 669-2831
- Fax
- (727) 669-3226
- NPI assigned
- Aug 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Pravoot Gira, MD
- Title
- Chief Medical Officer
- Phone
- (314) 909-0633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2679 Gulf to Bay Blvd Ste 560&570
Clearwater, FL 33759-4947
Mailing address
955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1972027928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852104903",
"telephone_number": "480-961-1865",
"fax_number": "480-893-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2679 GULF TO BAY BLVD STE 560&570",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337594947",
"telephone_number": "727-669-2831",
"fax_number": "727-669-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE VISION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-01",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "GIRA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PRAVOOT",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "314-909-0633",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.