Organization Active NPI

Select Optical Inc

  • Optometrist
  • North Miami Beach, FL
National Provider Identifier
1306209515
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3651 Issued in FL
Legal business name
SELECT OPTICAL INC
Practice address
16523 NE 6TH Ave
North Miami Beach, FL 33162-3605
Phone
(786) 554-2891
Fax
(305) 956-9079
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Rose M Augustin
Title
VP
Phone
(786) 554-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3651 FL Primary

Addresses

Primary practice location

16523 NE 6TH Ave
North Miami Beach, FL 33162-3605

Mailing address

16523 NE 6TH Ave
North Miami Beach, FL 33162-3605
Phone (786) 554-2891

Other names 1

  • Z- OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

16523 NE 6th Ave
North Miami Beach, FL 33162
Phone (786) 554-2891

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1306209515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16523 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623605",
            "telephone_number": "786-554-2891",
            "fax_number": "305-956-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16523 NE 6TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623605",
            "telephone_number": "786-554-2891",
            "fax_number": "305-956-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "786-554-2891"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Z- OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.