Regency Optical Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REGENCY OPTICAL CORP

Practice address

4975 SW 148TH Ave
Davie, FL 33330-2419

Phone

(267) 307-2098

NPI assigned

Nov 11, 2019

Organization subpart

No

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

Authorized official

Name

Ilya Ginzburg, OD

Title

President

Phone

(267) 307-2098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1184269433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302419",
            "telephone_number": "267-307-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-307-2098",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Sebastian Rebollo
• Recruiting Management Services, Inc.
• Alaa Kamil Redwan, BDS
• Joshua Marshall Reed, OD
• Kimberly Kay Reed, O.D.
• Rehab Lab Davie
• Lewis N Reich, O.D.
• Mervin Reid
• Matthew Allen Reik, PHARMD
• Laura Victoria Reillo Arjemi

• Optometrist in Davie, FL
• Providers in Davie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.