CAPSTONE EYE CARE GROUP OF FLORIDA LLC NPI 1245765205

Eyewear Supplier in Seminole, FL

NPI 1245765205 Organization Eyewear Supplier

About CAPSTONE EYE CARE GROUP OF FLORIDA LLC

Capstone Eye Care Group Of Florida Llc is a provider established in Seminole, Florida specializing in eyewear supplier. The NPI number of Capstone Eye Care Group Of Florida Llc is 1245765205 and was assigned on April 2017. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Jeffrey Butcher Od (Manager)

NPI

1245765205

Provider NameCAPSTONE EYE CARE GROUP OF FLORIDA LLC
Provider Location Address7855 113TH ST BLDG P-2 SUITE A SEMINOLE, FL 33772
Provider Mailing Address510 E MEMORIAL RD SUITE A-4 OKLAHOMA CITY, OK 73114
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-27-2017
Last Update Date03-17-2018


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

CAPSTONE EYE CARE GROUP OF FLORIDA LLC
7855 113TH ST BLDG P-2
SUITE A
SEMINOLE, FL
ZIP 33772
Phone: (405) 445-1588

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Mailing Address

CAPSTONE EYE CARE GROUP OF FLORIDA LLC
510 E MEMORIAL RD
SUITE A-4
OKLAHOMA CITY, OK
ZIP 73114
Phone:



Secondary Locations

3708 Henderson Blvd
Tampa, FL 33609
(727) 317-6174

Authorized Official

Authorized Official NameDR. JEFFREY BUTCHER OD
Authorized Official TitleMANAGER
Authorized Official Phone(405) 317-2140

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.