Active NPI
Spacecoastpop LLC
- Optician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- SPACECOASTPOP LLC
- Practice address
- 601 E Strawbridge Ave
Melbourne, FL 32901-4733 - Phone
- (321) 301-0411
- NPI assigned
- May 1, 2025
- Organization subpart
- Yes
- Parent organization
- SPACECOASTPOP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erick Ross, LICENSED OPTICIAN
- Title
- President
- Phone
- (321) 243-5255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
601 E Strawbridge Ave
Melbourne, FL 32901-4733
Mailing address
331 Melbourne Ave
Indialantic, FL 32903-4315
Phone (321) 243-5255
Other names 1
- Liberty Optical
National Provider Directory
National Provider Directory- Tax ID family
- Spacecoastpop LLC
- Part of
- Spacecoastpop LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Melbourne, FL
- NPI 1285567248
Locations
601 E Strawbridge Ave
Melbourne, FL 32901
Phone (321) 301-0411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1023807716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MELBOURNE AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034315",
"telephone_number": "321-243-5255",
"fax_number": "321-243-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E STRAWBRIDGE AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014733",
"telephone_number": "321-301-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPACECOASTPOP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPACECOASTPOP LLC",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "ERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-243-5255",
"authorized_official_credential": "LICENSED OPTICIAN"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Optical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.