Organization Active NPI

Poh Delray LLC

  • Optician
  • Delray Beach, FL
National Provider Identifier
1104346071
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO2151 Issued in FL
Legal business name
POH DELRAY LLC
Practice address
5068 W Atlantic Ave
Delray Beach, FL 33484-8129
Phone
(561) 498-8884
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ariel Croitorescu
Title
Ceo
Phone
(305) 649-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DO2151 FL Primary

Addresses

Primary practice location

5068 W Atlantic Ave
Delray Beach, FL 33484-8129

Mailing address

5068 W Atlantic Ave
Delray Beach, FL 33484-8129
Phone (561) 498-8884

Other identifiers 1

IdentifierTypeStateIssuer
DO2151OtherFLOPTICIAN

Other names 1

  • Golden Eye n Ear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104346071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848129",
            "telephone_number": "561-498-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848129",
            "telephone_number": "561-498-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POH DELRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CROITORESCU",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-649-4011"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO2151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN",
            "identifier": "DO2151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Eye n Ear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Eye n Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.