Organization Active NPI

Family Eye Care of Okeechobee PA

  • Optometrist
  • Okeechobee, FL
National Provider Identifier
1992297444
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4298 Issued in FL
Legal business name
FAMILY EYE CARE OF OKEECHOBEE PA
Practice address
710 S Parrott Ave
Okeechobee, FL 34974-5138
Phone
(863) 467-0595
Fax
(863) 467-1686
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Dr. Christine Bishop, ODNPI 1598912545
Title
Owner/Operator
Phone
(863) 467-0595

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 OPC4298 FL Primary

Addresses

Primary practice location

710 S Parrott Ave
Okeechobee, FL 34974-5138

Mailing address

710 S Parrott Ave
Okeechobee, FL 34974-5138
Phone (863) 467-0595

Other identifiers 1

IdentifierTypeStateIssuer
000488100MedicaidFL

Other names 1

  • Brennan Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181022000991 FL Part B Supplier - Clinic/Group Practice 2365795382 Receives reassigned benefits from 3 practitioners
Practice locations: Okeechobee, FL
O20190315001477 FL DME Supplier - Physician - Optometrist 2365795382 Practice locations: Okeechobee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brennan Eyecare710 S Parrott Ave, Okeechobee, FL 34974-5138(863) 467-0595 Orthoses: Off-The-Shelf|Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 18, 2018

National Provider Directory

National Provider Directory

Locations

710 S Parrott Ave
Okeechobee, FL 34974
Phone (863) 467-0595

Practitioners & affiliated clinicians

Practitioners 3

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": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1992297444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745138",
            "telephone_number": "863-467-0595",
            "fax_number": "863-467-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745138",
            "telephone_number": "863-467-0595",
            "fax_number": "863-467-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF OKEECHOBEE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "863-467-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000488100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brennan Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.