Organization Active NPI

SNG Labs-SNG Prosthetic Eye Institute, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hollywood, FL
National Provider Identifier
1194435313
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.
Practice address
4330 Sheridan St Ste 102B
Hollywood, FL 33021-1407
Phone
(561) 391-7099
Fax
(561) 354-5367
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Nicole Garonzik
Title
President
Phone
(561) 391-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4330 Sheridan St Ste 102B
Hollywood, FL 33021-1407

Mailing address

16244 S Military TRL Ste 420
Delray Beach, FL 33484-6505
Phone (561) 391-7099

Other identifiers 1

IdentifierTypeStateIssuer
950376500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nicolegaronzik0708@gmail.com SNG Labs-SNG Prosthetic Eye Institute, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602001330 FL DME Supplier - Ocularist 2163540493 Practice locations: Hollywood, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SNG Labs-SNG Prosthetic Eye Institu4330 Sheridan St, Hollywood, FL 33021-1407(561) 391-7099 Ocular Prostheses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
SNG Labs-SNG Prosthetic Eye Institute Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

950 NW 9th Ct
Boca Raton, FL 33486
Phone (561) 338-5777

4330 Sheridan St
Ste 102B
Hollywood, FL 33021
Phone (954) 287-2010

1701 NE 164th St
Ste 200
North Miami Beach, FL 33162
Phone (305) 947-0027

1118 S Orange Ave
Ste 204
Orlando, FL 32806
Phone (407) 872-6221

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1194435313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL STE 420",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-391-7099",
            "fax_number": "561-354-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SHERIDAN ST STE 102B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211407",
            "telephone_number": "561-391-7099",
            "fax_number": "561-354-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "GARONZIK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-391-7099"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950376500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicolegaronzik0708@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "SNG Labs-SNG Prosthetic Eye Institute, Inc.",
            "address_1": "4330 Sheridan St Ste 102B",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330211407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.