Optical at Southpoint

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

ME31869 Issued in ZZ

Legal business name

OPTICAL AT SOUTHPOINT

Practice address

7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8713

Phone

(904) 398-2720

Fax

(904) 483-5640

NPI assigned

Apr 29, 2010

Last updated

Apr 29, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ERNST NICOLITZ, M.D., P.A.As reported in NPPES

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

Authorized official

Name

Dr. Ernst Nicolitz, M.D.NPI 1275512394

Title

President

Phone

(904) 398-2720

Specialties & licenses 1

Addresses

Tax ID family

Optical at Southpoint2 organizations share this tax ID, including this one

Part of

Optical at Southpoint

Other organizations with this tax ID 1

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

• Southpoint Plastic Surgery Associates

  • Specialist
  • Jacksonville, FL
  • NPI 1174840235
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernst Nicolitz, M.D

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
  • NPI 1275512394
  NPD (past) Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1255658316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-398-2720",
            "fax_number": "904-483-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-398-2720",
            "fax_number": "904-483-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL AT SOUTHPOINT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERNST NICOLITZ, M.D., P.A.",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "NICOLITZ",
        "authorized_official_first_name": "ERNST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ZZ",
            "license": "ME31869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Operation Community Restore (OCR Group Home & Assisted Living)
• Operation Saving Our Children Inc.
• Opportunity Development Inc (CIL Jacksonville)
• Opportunity for Housing and Healthcare
• Opportunity for Housing Healthcare
• Optical Shoppe of Jax Inc (Optical Shoppe of Jax)
• Optigen Incorporated
• Optimal Jacksonville LLC
• Optimal Life Care Inc.
• Optimal Mental Health and Wellness Group Inc

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.