Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eye Site Vision Center III Inc

Organization Optometrist · NPI 1285936849

Eye Site Vision Center III Inc is an Optometrist in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9874 Yamato Rd Ste 120
Boca Raton, FL 33434-5552
Phone: (561) 479-1411
Fax: (561) 479-4267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC2575 (FL)
Pediatric Optometrist Taxonomy 152WP0200X · Licence OPC2575 (FL)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence OPC2575 (FL)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence OPC2575 (FL)

Record details

NPI number1285936849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Goberville — Pres/Optometrist · (561) 479-1411
NPI enumeratedDecember 2, 2010
Last updated in NPPESFebruary 17, 2012
Mailing address9874 Yamato Rd, Suite 120, Boca Raton, FL 33434-5552

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