Gainesville Opticians II, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO4464 Issued in FL

Legal business name

GAINESVILLE OPTICIANS II, LLC

Practice address

2015 NW 43Rd St
Gainesville, FL 32605-3481

Phone

(352) 271-3338

Fax

(352) 271-3353

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By 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

Mrs. Kimberly Durrance, LDO

Title

Co Owner Optician

Phone

(352) 271-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184825853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053481",
            "telephone_number": "352-271-3338",
            "fax_number": "352-271-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053481",
            "telephone_number": "352-271-3338",
            "fax_number": "352-271-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE OPTICIANS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURRANCE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO OWNER OPTICIAN",
        "authorized_official_telephone_number": "352-271-3338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO4464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Eyewear Supplier 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.