NPIMap

Organization Active NPI

Eye Site Center, Inc.

  • Eyewear Supplier
  • Riverview, FL
National Provider Identifier
1982915922
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2762 Issued in FL
Legal business name
EYE SITE CENTER, INC.
Practice address
9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120
Phone
(813) 677-2995
Fax
(813) 677-5549
NPI assigned
Jun 24, 2010
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Mark S. LuedkeNPI 1316915481
Title
Pres
Phone
(813) 677-2995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC2762 FL Primary

Addresses

Primary practice location

9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120

Mailing address

9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120
Phone (813) 677-2995

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, 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": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1982915922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BALM RIVERVIEW RD STE 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695120",
            "telephone_number": "813-677-2995",
            "fax_number": "813-677-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BALM RIVERVIEW RD STE 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695120",
            "telephone_number": "813-677-2995",
            "fax_number": "813-677-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LUEDKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "813-677-2995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.