Optic City, Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTIC CITY, CORP

Practice address

3773 W Flagler St
Coral Gables, FL 33134-1601

Phone

(786) 357-6748

NPI assigned

May 4, 2024

Organization subpart

No

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

Authorized official

Name

Virginia Perdomo, OPTICIANNPI 1376301515

Title

Office Optician

Phone

(786) 357-6748

Specialties & licenses 1

Addresses

Other names 1

• Optic City Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Perdomo, OPTICIAN

  • Optician
  • Coral Gables, FL
  • NPI 1376301515
  NPD Authorized official

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1043067218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341601",
            "telephone_number": "786-357-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341601",
            "telephone_number": "786-357-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC CITY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE OPTICIAN",
        "authorized_official_telephone_number": "786-357-6748",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optic City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.