The Wizard of Eyes of S FL Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5743 Issued in FL

Legal business name

THE WIZARD OF EYES OF S FL INC

Practice address

7107 Lake Worth Rd
Lake Worth, FL 33467-2906

Phone

(561) 966-2212

Fax

(561) 966-2215

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Marci Anzalone

Title

Secretary

Phone

(561) 966-2212

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter S Siedman, O.D.

  • Optometrist
  • Lake Worth, FL
  • NPI 1548312010
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184757296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672906",
            "telephone_number": "561-966-2212",
            "fax_number": "561-966-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672906",
            "telephone_number": "561-966-2212",
            "fax_number": "561-966-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIZARD OF EYES OF S FL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANZALONE",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "561-966-2212"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Optician in Florida

• 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.