NPIMap

Organization Active NPI

PCP Vision Services LLC

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1972969749
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PCP VISION SERVICES LLC
Practice address
6517 Taft St
Hollywood, FL 33024-4062
Phone
(954) 983-9191
Fax
(954) 983-1152
NPI assigned
Jan 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Moises Issa, MDNPI 1558357780
Title
President
Phone
(954) 983-9191

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

6517 Taft St
Hollywood, FL 33024-4062

Mailing address

6517 Taft St
Hollywood, FL 33024-4062
Phone (954) 983-9191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1972969749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244062",
            "telephone_number": "954-983-9191",
            "fax_number": "954-983-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244062",
            "telephone_number": "954-983-9191",
            "fax_number": "954-983-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCP VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-983-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.