NPIMap

Organization Active NPI

20-10 Optical, LLC

  • Eyewear Supplier
  • Punta Gorda, FL
National Provider Identifier
1205103215
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE 1978 Issued in FL
Legal business name
20-10 OPTICAL, LLC
Practice address
121 E Marion Ave
Suite 111
Punta Gorda, FL 33950-3635
Phone
(941) 833-9044
NPI assigned
Nov 18, 2011
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
James Davis Mungenast, L.D.O.
Title
MGRM
Phone
(941) 833-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE 1978 FL Primary

Addresses

Primary practice location

121 E Marion Ave
Suite 111
Punta Gorda, FL 33950-3635

Mailing address

121 E Marion Ave
Suite 111
Punta Gorda, FL 33950-3635

Other names 1

  • 20/10 Optical Other name

National Provider Directory

National Provider Directory

Locations

121 E Marion Ave
Unit 111
Punta Gorda, FL 33950
Phone (941) 833-9044

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1205103215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MARION AVE",
            "address_2": "SUITE 111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MARION AVE",
            "address_2": "SUITE 111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503635",
            "telephone_number": "941-833-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-10 OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "MUNGENAST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "941-833-9044",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE 1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/10 Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.