Active NPI
Eye Candy Optical LLC
- Optician
- Fort Walton Beach, FL
National Provider Identifier
1104002260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- EYE CANDY OPTICAL LLC
- Practice address
- 80 Beal Pkwy NW
Suite E
Fort Walton Beach, FL 32548-4829 - Phone
- (850) 226-7096
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice L Reeve, LICENSED OPTICIAN
- Title
- Owner
- Phone
- (850) 226-7096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
80 Beal Pkwy NW
Suite E
Fort Walton Beach, FL 32548-4829
Mailing address
80 Beal Pkwy NW
Suite E
Fort Walton Beach, FL 32548-4829
Phone (850) 226-7096
National Provider Directory
National Provider DirectoryLocations
80 Beal Pkwy NW
Ste E
Fort Walton Beach, FL 32548
Phone (850) 226-7096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1104002260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BEAL PKWY NW",
"address_2": "SUITE E",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484829",
"telephone_number": "850-226-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BEAL PKWY NW",
"address_2": "SUITE E",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484829",
"telephone_number": "850-226-7096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CANDY OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "REEVE",
"authorized_official_first_name": "CANDICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-226-7096",
"authorized_official_credential": "LICENSED OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.