Eye-Site of Boynton Beach

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5095 Issued in FL

Legal business name

EYE-SITE OF BOYNTON BEACH

Practice address

6641 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527

Phone

(561) 738-0111

Fax

(561) 735-9359

NPI assigned

Nov 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David Miles Thomas, L.D.O

Title

Owner

Phone

(561) 738-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1003280306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-738-0111",
            "fax_number": "561-735-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373527",
            "telephone_number": "561-738-0111",
            "fax_number": "561-735-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE-SITE OF BOYNTON BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-738-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "5095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OPTICIANS",
            "identifier": "5095",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.