NPIMap

Organization Active NPI

Hometown Optical Inc.

  • Optician
  • Sebastian, FL
National Provider Identifier
1164668802
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO4689 Issued in FL
Legal business name
HOMETOWN OPTICAL INC.
Practice address
13244 US Highway 1
Sebastian, FL 32958-3750
Phone
(772) 388-0308
Fax
(772) 228-9111
NPI assigned
Dec 31, 2008
Last updated
Dec 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Mr. Nathan Shane StyronNPI 1700975778
Title
President/Optician
Phone
(772) 388-0308

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
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X DO4689 FL Primary

Addresses

Primary practice location

13244 US Highway 1
Sebastian, FL 32958-3750

Mailing address

13244 US Highway 1
Sebastian, FL 32958-3750
Phone (772) 388-0308

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": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1164668802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583750",
            "telephone_number": "772-388-0308",
            "fax_number": "772-228-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13244 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583750",
            "telephone_number": "772-388-0308",
            "fax_number": "772-228-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "STYRON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "772-388-0308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.