NPIMap

Organization Active NPI

Lake City Optical Co Inc

Doing business as Eyeglass Express

  • Eyewear Supplier
  • Lake City, FL
National Provider Identifier
1295972818
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LAKE CITY OPTICAL CO INC
Doing business as
Eyeglass Express
Practice address
295 NW Commons Loop
#105
Lake City, FL 32055-7709
Phone
(386) 752-3733
Fax
(386) 755-2400
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mr. Bruce T Flater, OPTICIAN
Title
President/G.M.
Phone
(352) 332-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

295 NW Commons Loop
#105
Lake City, FL 32055-7709

Mailing address

1132 NW 76TH Blvd
Gainesville, FL 32606-6749
Phone (352) 332-3937

Other names 1

  • EYEGLASS EXPRESS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1295972818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 NW 76TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066749",
            "telephone_number": "352-332-3937",
            "fax_number": "352-332-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NW COMMONS LOOP",
            "address_2": "#105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320557709",
            "telephone_number": "386-752-3733",
            "fax_number": "386-755-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "FLATER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/G.M.",
        "authorized_official_telephone_number": "352-332-3937",
        "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": [
        {
            "organization_name": "EYEGLASS EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.