Infinity Vision Optical Boutique

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INFINITY VISION OPTICAL BOUTIQUE

Doing business as

Infinity Vision Optical Boutique

Practice address

5135 International Dr Ste 15
Orlando, FL 32819-9451

Phone

(407) 745-4066

Fax

(407) 745-4067

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Diego Luciano Pires, DONPI 1225803075

Title

Owner

Phone

(908) 696-3463

Specialties & licenses 1

Addresses

Other names 1

• Infinity Vision Optical Boutique Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diego Luciano Pires, DO

  • Optician
  • Orlando, FL
  • NPI 1225803075
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1346087509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 INTERNATIONAL DR STE 15",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199451",
            "telephone_number": "908-696-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 INTERNATIONAL DR STE 15",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199451",
            "telephone_number": "407-745-4066",
            "fax_number": "407-745-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY VISION OPTICAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "PIRES",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "LUCIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-696-3463",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Vision Optical Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.