Adonis Optical, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OE 1592 Issued in FL

Legal business name

ADONIS OPTICAL, INC.

Practice address

706 NW 23Rd Ave
Gainesville, FL 32609-8524

Phone

(352) 367-0077

Fax

(352) 367-0079

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Wiebold, L.D.O.NPI 1598881393

Title

Optician

Phone

(352) 367-0077

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jonathan David Wiebold, L.D.O.

  • Optician
  • Gainesville, FL
  • NPI 1598881393
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265552889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098524",
            "telephone_number": "352-367-0077",
            "fax_number": "352-367-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098524",
            "telephone_number": "352-367-0077",
            "fax_number": "352-367-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONIS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIEBOLD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "352-367-0077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "OE 1592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAL ESTABLISHMENT PMT",
            "identifier": "OE 1592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Boone Adkins, LMT
• Scott Hamilton Adkins, LMT
• Emily Fay Adler
• Claudia Admoun, DO
• Douglas Paul Adolphson, MD
• Adrian Lewis, M.D.,P.a. (Auto Injury Care)
• Lawrence Ogagaoghene Adu, MD
• Adult & Adolescent Counseling
• Advance Best Care Medical Services LLC
• Advanced Behavioral Consulting, LLC

• 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 Aug 22, 2020; 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.