NPIMap

Organization Active NPI

Lifestyle Optical

  • Eyewear Supplier
  • Vero Beach, FL
National Provider Identifier
1275743304
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LIFESTYLE OPTICAL
Practice address
89 Royal Palm PT
Vero Beach, FL 32960-4253
Phone
(772) 567-0707
Fax
(772) 567-5683
NPI assigned
May 24, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mr. Joseph TestaNPI 1306056429
Title
Owner
Phone
(772) 567-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

89 Royal Palm PT
Vero Beach, FL 32960-4253

Mailing address

89 Royal Palm PT
Vero Beach, FL 32960-4253
Phone (772) 567-0707

National Provider Directory

National Provider Directory

Locations

89 Royal Palm Pt
Vero Beach, FL 32960
Phone (772) 562-7002

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1275743304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-567-0707",
            "fax_number": "772-567-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-567-0707",
            "fax_number": "772-567-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-567-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.