Active NPI
John Villamizar, LICENSED OPTICIAN
- Optician
- Royal Palm Beach, FL
National Provider Identifier
1346663374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO6145
- Practice address
- 1201 Oakwater Dr
Royal Palm Beach, FL 33411-6107 - Phone
- (561) 354-8772
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO6145 | FL | Primary |
Addresses
Primary practice location
1201 Oakwater Dr
Royal Palm Beach, FL 33411-6107
Mailing address
1201 Oakwater Dr
Royal Palm Beach, FL 33411-6107
Phone (561) 354-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO6145 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1346663374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 OAKWATER DR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334116107",
"telephone_number": "561-354-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 OAKWATER DR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334116107",
"telephone_number": "561-354-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAMIZAR",
"first_name": "JOHN",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO6145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.