NPIMap

Organization Active NPI

Sphere Optical Lab Inc

  • Optometrist
  • Coral Gables, FL
National Provider Identifier
1073614244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPHERE OPTICAL LAB INC
Doing business as
EXECUTIVE PALOMINO OPTICAL
Practice address
2393 Coral Way
Coral Gables, FL 33145-3510
Phone
(305) 856-8154
Fax
(305) 858-9408
NPI assigned
Sep 26, 2006
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
Leonardo Denis Palomino
Title
President
Phone
(305) 856-8154

Specialties & licenses 1

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

Addresses

Primary practice location

2393 Coral Way
Coral Gables, FL 33145-3510

Mailing address

2393 Coral Way
Coral Gables, FL 33145-3510
Phone (305) 856-8154

Other names 1

  • EXECUTIVE PALOMINO OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

2393 Coral Way
Coral Gables, FL 33145
Phone (305) 856-8154

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073614244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453510",
            "telephone_number": "305-856-8154",
            "fax_number": "305-858-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453510",
            "telephone_number": "305-856-8154",
            "fax_number": "305-858-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPHERE OPTICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALOMINO",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-856-8154"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXECUTIVE PALOMINO OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Gables, 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.