Organization Active NPI

Four H Optical

  • Optician
  • Gainesville, FL
National Provider Identifier
1225153455
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5019 Issued in FL
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

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Maude Lucille HoughNPI 1275925281
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)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
630303000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Four H Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.