NPIMap

Organization Active NPI

For Eyes Optical of Coconut Grove

  • Eyewear Supplier
  • Orlando, FL
National Provider Identifier
1306996491
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DO 5154 Issued in FL
Legal business name
FOR EYES OPTICAL OF COCONUT GROVE
Practice address
4192 Conroy Rd
Suite 111
Orlando, FL 32839
Phone
(407) 209-3704
Fax
(407) 226-7020
NPI assigned
Jan 11, 2007
Reactivated
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Mr. Jose Costa
Title
Ceo
Phone
(305) 557-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X DO 5154 FL Primary

Addresses

Primary practice location

4192 Conroy Rd
Suite 111
Orlando, FL 32839

Mailing address

3601 SW 160TH Ave
Suite 400
Miramar, FL 33027-6308
Phone (305) 557-9004

Other names 1

  • For Eyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
For Eyes13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1306996491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "SUITE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "305-557-9004",
            "fax_number": "855-881-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 CONROY RD",
            "address_2": "SUITE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32839",
            "telephone_number": "407-209-3704",
            "fax_number": "407-226-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL OF COCONUT GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-06-06",
        "deactivation_date": "2013-07-10",
        "reactivation_date": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-557-9004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO 5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "For Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.