NPIMap

Organization Active NPI

Ottawahills Optical Inc

  • Eyewear Supplier
  • Jacksonville, FL
National Provider Identifier
1154528883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Singal, MDNPI 1326028895
Title
President
Phone
(904) 292-0004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3020 Hartley Rd
Suite 190
Jacksonville, FL 32257-8231

Mailing address

3020 Hartley Rd
Suite 190
Jacksonville, FL 32257-8231
Phone (904) 292-0004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • 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.