Florentino Nantes & Ernesto Juarez

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

FLORENTINO NANTES & ERNESTO JUAREZ

Doing business as

SITE FOR SORE EYES 503

Practice address

2213 Shattuck Ave
Berkeley, CA 94704-1415

Phone

(510) 841-6963

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Florentino Nantes, ABOM, NCLEC

Title

Principal Owner

Phone

(510) 841-6963

Specialties & licenses 1

Addresses

Other names 1

• SITE FOR SORE EYES 503 Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Lynn Dolezel, O.D.

  • Optometrist
  • Fairfield, CA
  • NPI 1467485672
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1114561834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041415",
            "telephone_number": "510-841-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041415",
            "telephone_number": "510-841-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENTINO NANTES & ERNESTO JUAREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "NANTES",
        "authorized_official_first_name": "FLORENTINO",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "510-841-6963",
        "authorized_official_credential": "ABOM, NCLEC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SITE FOR SORE EYES 503",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Letteria Fletcher
• Phebe M. Fletcher, MFTI
• Olivia Rose Flint
• Samantha Victoria Flint
• Leslie Carstensen Floren, PHARMD
• Jana Flores Schustack, MFT
• Alberto Flores, LCSW
• Angela Flores, OD
• Charles I Flores, PH.D., LPCC, LAADC-S
• Claudia Flores

• Optician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.