Misada Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5653 Issued in FL

Legal business name

MISADA INC

Practice address

1371 Town Center Dr
Lakeland, FL 33803-7964

Phone

(863) 413-0200

Fax

(863) 413-0227

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael Gary Plumb, LDO

Title

VP

Phone

(863) 413-0200

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1336509207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 TOWN CENTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037964",
            "telephone_number": "863-413-0200",
            "fax_number": "863-413-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 TOWN CENTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037964",
            "telephone_number": "863-413-0200",
            "fax_number": "863-413-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "PLUMB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "863-413-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberto Miranda-Quesda, APRN
• A'Lyse Mellys Miranda
• Diane Miranda
• Max Miranda, PA
• Mis Provider Network LLC
• David Michael Misch, MD
• Magdalena Ewa Misiurek, MD
• Mission Health & Massage Inc.
• Deshawn Deloris Mitchell, APRN
• Hanna Mitchell

• Optician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optician in Florida

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