Organization Active NPI

Vision Arts Eye Care Center of Perry Inc

  • Optometrist
  • Perry, FL
National Provider Identifier
1982883229
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC00784 Issued in FL
Legal business name
VISION ARTS EYE CARE CENTER OF PERRY INC
Practice address
1502 S Jefferson St
Perry, FL 32348-5601
Phone
(850) 584-2408
Fax
(850) 838-1833
NPI assigned
Nov 2, 2007
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. Wyatt R Taylor, O.D.
Title
President/Optometrist
Phone
(850) 584-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC00784 FL Primary

Addresses

Primary practice location

1502 S Jefferson St
Perry, FL 32348-5601

Mailing address

1502 S Jefferson St
Perry, FL 32348-5601
Phone (850) 584-2408

Other identifiers 1

IdentifierTypeStateIssuer
084155200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1502 S Jefferson St
Perry, FL 32348
Phone (850) 584-2408

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1982883229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485601",
            "telephone_number": "850-584-2408",
            "fax_number": "850-838-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485601",
            "telephone_number": "850-584-2408",
            "fax_number": "850-838-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ARTS EYE CARE CENTER OF PERRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "850-584-2408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC00784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084155200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.