Veinte 20 Vision Center & Optical, P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

004008 Issued in FL

Legal business name

VEINTE 20 VISION CENTER & OPTICAL, P.A

Practice address

101 Divine Dr
Suite 1
Davenport, FL 33897-9571

Phone

(352) 243-2724

Fax

(863) 353-6842

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo A Castillo, O.D.

Title

Owner

Phone

(352) 243-2724

Specialties & licenses 1

Addresses

Other names 1

• West Broward Vision Center, Inc Former legal business name

Locations

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1245561893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DIVINE DR",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979571",
            "telephone_number": "352-243-2724",
            "fax_number": "863-353-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DIVINE DR",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979571",
            "telephone_number": "352-243-2724",
            "fax_number": "863-353-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINTE 20 VISION CENTER & OPTICAL, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-243-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "004008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Broward Vision Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Vasquez
• Gabriela A Vasquez
• Neftali Vazquez Jr., MD
• Dened Vega Delgado, DDS
• Jasmyn Aleiah Vega
• Schermika Yarise Velez, OTHER
• Robert Cruz Vergara, MD
• Veritas Interventional Pain & Spine Institute, LLC
• Victory Manor Group Home LLC
• Vida Blood Care

• Optometrist in Davenport, FL
• Providers in Davenport, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.