Optical Shoppe of Jax Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL SHOPPE OF JAX INC

Doing business as

Optical Shoppe of Jax

Practice address

3636 University Blvd S a-1
Jacksonville, FL 32216-4210

Phone

(904) 730-3388

Fax

(904) 730-3388

NPI assigned

Apr 19, 2007

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandra L Craig

Title

Owner

Phone

(904) 730-3388

Specialties & licenses 1

Addresses

Other names 1

• Optical Shoppe of Jax Doing business as

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1164649505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S A1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164210",
            "telephone_number": "904-730-3388",
            "fax_number": "904-730-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S A-1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164210",
            "telephone_number": "904-730-3388",
            "fax_number": "904-730-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SHOPPE OF JAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-730-3388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Shoppe of Jax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.