Thirteenth Street Optical Co., Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO3830 Issued in FL

Legal business name

THIRTEENTH STREET OPTICAL CO., INC.

Doing business as

Eyecare Express

Practice address

3720 NW 13TH St. #12
Gainesville, FL 32609-5911

Phone

(352) 375-6133

Fax

(352) 375-5380

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wright Barnard

Title

Sr. Vice President

Phone

(352) 375-6133

Specialties & licenses 1

Addresses

Other names 1

• Eyecare Express Doing business as

Locations

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1235385261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 NW 13TH ST. #12",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095911",
            "telephone_number": "352-375-6133",
            "fax_number": "352-375-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 NW 13TH ST. #12",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095911",
            "telephone_number": "352-375-6133",
            "fax_number": "352-375-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRTEENTH STREET OPTICAL CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "352-375-6133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.