Organization Active NPI

Delray Optical Service Inc

  • Eyewear Supplier
  • Delray Beach, FL
National Provider Identifier
1003866252
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE 31 Issued in FL
Legal business name
DELRAY OPTICAL SERVICE INC
Practice address
14854 Military TRL
Delray Beach, FL 33484-8153
Phone
(561) 498-7500
Fax
(561) 498-7636
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Abraham B Jacoby, LDO
Title
President
Phone
(561) 498-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE 31 FL Primary

Addresses

Primary practice location

14854 Military TRL
Delray Beach, FL 33484-8153

Mailing address

14854 Military TRL
Delray Beach, FL 33484-8153
Phone (561) 498-7500

National Provider Directory

National Provider Directory

Locations

14854 S Military Trl
Delray Beach, FL 33484
Phone (561) 498-7500

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1003866252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14854 MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "561-498-7500",
            "fax_number": "561-498-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14854 MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "561-498-7500",
            "fax_number": "561-498-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY OPTICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-498-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE 31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.