Active NPI
Four H Optical
- Optician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5019
- Legal business name
- FOUR H OPTICAL
- Practice address
- 4605 NW 6TH St
Suite 2C
Gainesville, FL 32609-4197 - Phone
- (352) 377-0532
- Fax
- (352) 338-8001
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maude Lucille Hough
- Title
- Owner
- Phone
- (352) 377-0532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5019 | FL | Primary |
| Eyewear Supplier | 332H00000X | FL |
Addresses
Primary practice location
4605 NW 6TH St
Suite 2C
Gainesville, FL 32609-4197
Mailing address
4605 NW 6TH St
Suite 2C
Gainesville, FL 32609-4197
Phone (352) 377-0532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630303000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Four H Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Gainesville, FL
- NPI 1720232648
Locations
4605 NW 6th St
Ste 2C
Gainesville, FL 32609
Phone (352) 377-0532
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Gainesville, FL
- NPI 1275925281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1225153455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 NW 6TH ST",
"address_2": "SUITE 2C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326094197",
"telephone_number": "352-377-0532",
"fax_number": "352-338-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 NW 6TH ST",
"address_2": "SUITE 2C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326094197",
"telephone_number": "352-377-0532",
"fax_number": "352-338-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR H OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "HOUGH",
"authorized_official_first_name": "MAUDE",
"authorized_official_middle_name": "LUCILLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-377-0532",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "5019",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630303000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.