NPIMap

Organization Active NPI

Mahalo Enterprises Corporation

  • Optometrist
  • Lake Worth, FL
National Provider Identifier
1043535404
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2582 Issued in FL
Legal business name
MAHALO ENTERPRISES CORPORATION
Practice address
6486 Lake Worth Road
Lake Worth, FL 33463
Phone
(561) 968-4942
NPI assigned
Mar 29, 2010
Organization subpart
Yes
Parent organization
MAHALO ENTERPRISES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. Adam CherryNPI 1518116268
Title
President
Phone
(954) 501-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2582 FL Primary

Addresses

Primary practice location

6486 Lake Worth Road
Lake Worth, FL 33463

Mailing address

5645 Coral Ridge Drive
Suite 122
Coral Springs, FL 33076
Phone (954) 501-7755

National Provider Directory

National Provider Directory
Part of
Mahalo Enterprises Corporation

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1043535404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DRIVE",
            "address_2": "SUITE 122",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "954-501-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6486 LAKE WORTH ROAD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-968-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHALO ENTERPRISES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAHALO ENTERPRISES CORPORATION",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-501-7755",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.