Contact Lens & Eye Care of Pensacola Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CONTACT LENS & EYE CARE OF PENSACOLA INC

Practice address

3111 Peggy Bond Dr
Pensacola, FL 32504-5018

Phone

(850) 479-7379

Fax

(850) 494-9056

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Heath Anderson

Title

Corporate Secretary

Phone

(850) 262-0018

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Contact Lens & Family Eyecare of Pensacola Other name

Practitioners 1

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

• Jill Susan Anderson, O.D.

  • Optometrist
  • Pensacola, FL
  • NPI 1619918935
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1992735161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 PEGGY BOND DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045018",
            "telephone_number": "850-479-7379",
            "fax_number": "850-494-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 PEGGY BOND DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045018",
            "telephone_number": "850-479-7379",
            "fax_number": "850-494-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT LENS & EYE CARE OF PENSACOLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "850-262-0018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DG0628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contact Lens & Family Eyecare of Pensacola",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael P Conrad, MD
• Michelle Rae Conrad, PTA, LMT
• Kim Marie Conradson, PHD, LMHC
• Consano Health Inc
• Robert Louis Constantine Jr., OTR/L
• Bradley Richard Conti, P.A.
• Karli Conti
• Noah Ridings Converse, DO
• Barbara Cook, CRNA
• Barbara Green Cook, LCSW

• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.