Organization Active NPI

Precision Optical of Florida, LLC

  • Eyewear Supplier
  • Holiday, FL
National Provider Identifier
1164167698
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PRECISION OPTICAL OF FLORIDA, LLC
Practice address
2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone
(727) 937-6551
Fax
(727) 942-7200
NPI assigned
Apr 29, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Tammy Marie Wilhite, LDONPI 1740922814
Title
Owner/Licensed Optician
Phone
(727) 937-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942

Mailing address

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone (727) 937-6551

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": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1164167698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTICAL OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LICENSED OPTICIAN",
        "authorized_official_telephone_number": "727-937-6551",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.