Organization Active NPI

For Eyes Optical Co, Inc

Doing business as For Eyes of MD

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1114062742
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DA1192 Issued in MD
Legal business name
FOR EYES OPTICAL CO, INC
Doing business as
For Eyes of MD
Practice address
285 W 74TH PL
Hialeah, FL 33014-5058
Phone
(305) 557-9004
Fax
(866) 295-9120
NPI assigned
Feb 21, 2007
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Philip Wolman
Title
Owner
Phone
(800) 325-3276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X DA1192 MD Primary

Addresses

Primary practice location

285 W 74TH PL
Hialeah, FL 33014-5058

Mailing address

PO Box 102472
Atlanta, GA 30368-2472
Phone (305) 557-9004

Other names 1

  • For Eyes of MD Doing business as

National Provider Directory

National Provider Directory

Locations

2560 Solomons Island Rd
Annapolis, MD 21401
Phone (410) 573-2020

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1114062742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102472",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682472",
            "telephone_number": "305-557-9004",
            "fax_number": "866-295-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 74TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145058",
            "telephone_number": "305-557-9004",
            "fax_number": "866-295-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL CO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "WOLMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-325-3276"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Eyes of MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.