Organization Active NPI

Cole Optics, LLC

  • Optician
  • Lake City, FL
National Provider Identifier
1053532085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2280129751032 Issued in FL
Legal business name
COLE OPTICS, LLC
Practice address
621 SW Baya Dr
Suite 101
Lake City, FL 32025-4240
Phone
(386) 719-9292
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherri Alaine Cole, L.D.O.
Title
Owner
Phone
(386) 719-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 2280129751032 FL Primary

Addresses

Primary practice location

621 SW Baya Dr
Suite 101
Lake City, FL 32025-4240

Mailing address

621 SW Baya Dr
Suite 101
Lake City, FL 32025-4240
Phone (386) 719-9292

National Provider Directory

National Provider Directory

Locations

621 SW Baya Dr
Ste 101
Lake City, FL 32025
Phone (386) 719-9292

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053532085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW BAYA DR",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254240",
            "telephone_number": "386-719-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW BAYA DR",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254240",
            "telephone_number": "386-719-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "ALAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-719-9292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "2280129751032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.