Active NPI
The Eye Gallery DC, LLC
- Eyewear Supplier
- Panama City, FL
National Provider Identifier
1992934301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- THE EYE GALLERY DC, LLC
- Practice address
- 700 Pier Park Dr
Ste 110
Panama City, FL 32413-2168 - Phone
- (850) 387-4799
- Fax
- (850) 230-8350
- NPI assigned
- Jul 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Burger
- Title
- Office Manager
- Phone
- (850) 357-4799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
700 Pier Park Dr
Ste 110
Panama City, FL 32413-2168
Mailing address
700 Pier Park Dr
Ste 110
Panama City, FL 32413-2168
Phone (850) 387-4799
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246924800000",
"number": "1992934301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PIER PARK DR",
"address_2": "STE 110",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324132168",
"telephone_number": "850-387-4799",
"fax_number": "850-230-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PIER PARK DR",
"address_2": "STE 110",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324132168",
"telephone_number": "850-387-4799",
"fax_number": "850-230-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE GALLERY DC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A",
"authorized_official_last_name": "BURGER",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "850-357-4799",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.