Ottawahills Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OTTAWAHILLS OPTICAL INC

Practice address

3020 Hartley Rd
Suite 190
Jacksonville, FL 32257-8231

Phone

(904) 292-0004

Fax

(904) 292-0005

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Singal, MD

Title

President

Phone

(904) 292-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154528883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HARTLEY RD",
            "address_2": "SUITE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578231",
            "telephone_number": "904-292-0004",
            "fax_number": "904-292-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HARTLEY RD",
            "address_2": "SUITE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578231",
            "telephone_number": "904-292-0004",
            "fax_number": "904-292-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWAHILLS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-292-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D7840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin A Otis, DNP, APRN-CRNA
• Anna Marie Otoole
• Gabrielle Otremba
• Amber Lynn Ott, APRN
• Megan Marie Ott
• Ian Seth Otto
• Jessica Beth Otto, CCC-SLP
• Nolan Robert Otto, MD
• Maritza Ou
• Barbara Ouellette, CRNA

• Eyewear Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.