Seacrest Optical Incorporated

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1531 Issued in FL

Legal business name

SEACREST OPTICAL INCORPORATED

Practice address

7263 W Atlantic Ave
Delray Beach, FL 33446-1305

Phone

(561) 496-2020

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Schainkin, L.D.O.

Title

President Optician

Phone

(561) 496-2020

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1124142906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461305",
            "telephone_number": "561-496-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7263 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461305",
            "telephone_number": "561-496-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST OPTICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "SCHAINKIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT OPTICIAN",
        "authorized_official_telephone_number": "561-496-2020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "1531",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "1531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED ID NUMBER",
            "identifier": "111800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION CARE",
            "identifier": "139145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.