Organization Active NPI

Eyes on the Job PLLC

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1144778804
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON THE JOB PLLC
Practice address
4330 Sheridan St Ste 102
Hollywood, FL 33021-1406
Phone
(954) 998-4344
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Justin Diamond
Title
Manager
Phone
(954) 998-4344

Specialties & licenses 1

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

Addresses

Primary practice location

4330 Sheridan St Ste 102
Hollywood, FL 33021-1406

Mailing address

PO Box 848041
Hollywood, FL 33084-0041
Phone (954) 998-4344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1144778804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848041",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330840041",
            "telephone_number": "954-998-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211406",
            "telephone_number": "954-998-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON THE JOB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-998-4344"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.