Optical Laboratory LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

29463 Issued in FL

Legal business name

OPTICAL LABORATORY LLC

Practice address

618 SW 4TH Avenue
Gainesville, FL 32601

Phone

(352) 376-5563

Fax

(352) 376-8783

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marjorie Hazouri

Title

Manager

Phone

(352) 376-5563

Specialties & licenses 2

Addresses

Other names 1

• Pinkoson Hazouri Optical Laboratory Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Hazouri, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1689635104
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1356459762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SW 4TH AVENUE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-376-5563",
            "fax_number": "352-376-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SW 4TH AVENUE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-376-5563",
            "fax_number": "352-376-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HAZOURI",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-376-5563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "OE0000362",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "29463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinkoson Hazouri Optical Laboratory",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lateef Opabola, M.D.
• Open Arms of Gainesville, LLC
• Eittel Oppenheimer Gonzalez, MD, FACS
• Frances Lynn Oppenheimer, RN, LMT
• Opportuno Transport Service Inc
• Optical Laboratory, LLC
• Optima Neurological Services
• Optimal Education LLC
• Optimize Massage Therapy, LLC
• Optimized Psychological Consulting LLC

• Eyewear Supplier in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.