Optimart, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OE369 Issued in FL

Legal business name

OPTIMART, INC.

Practice address

5115 34TH St S
St Petersburg, FL 33711-4515

Phone

(727) 866-6506

Fax

(727) 866-6742

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Louis Mathis

Title

Administrator

Phone

(727) 812-3020

Specialties & licenses 1

Addresses

Other names 1

• OPTIMART, INC. #10 Doing business as

Tax ID family

Optimart Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optimart, Inc.

  • Optician
  • St Petersburg, FL
  • NPI 1780110924
  NPD tax ID

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316154164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143717",
            "telephone_number": "727-812-3020",
            "fax_number": "727-525-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 34TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114515",
            "telephone_number": "727-866-6506",
            "fax_number": "727-866-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-812-3020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "OE369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMART, INC. #10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optical Shop Inc
• Optimal Horizons LLC
• Optimal Performance & Physical Therapies Tyrone, LLC
• Optimal Performance and Physical Therapies St. Petersburg, LLC
• Optimal Vitality Institute LLC
• Optimart, Inc.
• Optimart, Inc.
• Optimized Therapy Transitions, LLC
• Optimum Home Care of Florida LLC
• Optimum in-Home Aide Agency LLC

• Optician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.