Marx Coastal Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MARX COASTAL OPTICAL, LLC

Practice address

271 State Highway 20 E
Freeport, FL 32439-3900

Phone

(850) 880-6778

Fax

(850) 880-6779

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Marc A McLendon, OPTICIAN

Title

President

Phone

(850) 880-6778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1235601923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 STATE HIGHWAY 20 E",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324393900",
            "telephone_number": "850-880-6778",
            "fax_number": "850-880-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 STATE HIGHWAY 20 E",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324393900",
            "telephone_number": "850-880-6778",
            "fax_number": "850-880-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARX COASTAL OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-880-6778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Freeport, FL
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.