Stallion Optical, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STALLION OPTICAL, LLC

Doing business as

Jade Optical

Practice address

9549 NW 41St St
Doral, FL 33178-2371

Phone

(305) 591-6566

Fax

(786) 462-2352

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Luca Billau

Title

Managing Partner

Phone

(305) 964-2020

Specialties & licenses 1

Addresses

Other names 1

• Jade Optical Doing business as

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1306156526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 SW 142 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-964-2020",
            "fax_number": "786-242-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9549 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782371",
            "telephone_number": "305-591-6566",
            "fax_number": "786-462-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLION OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "BILLAU",
        "authorized_official_first_name": "LUCA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-964-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jade Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.