Organization Active NPI

Eyes on the Go Optical LLC

  • Optician
  • Hollywood, FL
National Provider Identifier
1386113843
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EYES ON THE GO OPTICAL LLC
Practice address
6618 Stirling Rd
Hollywood, FL 33024-1954
Phone
(954) 812-9232
Fax
(954) 374-6783
NPI assigned
Nov 14, 2018
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Carmen Gladys Garcia
Title
Owner
Phone
(954) 812-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

6618 Stirling Rd
Hollywood, FL 33024-1954

Mailing address

6618 Stirling Rd
Hollywood, FL 33024-1954
Phone (954) 812-9232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021000044 FL Part B Supplier - Clinic/Group Practice 4284166992 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

6618 Stirling Rd
Hollywood, FL 33024
Phone (954) 812-9232

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1386113843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241954",
            "telephone_number": "954-812-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241954",
            "telephone_number": "954-812-9232",
            "fax_number": "954-374-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON THE GO OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-812-9232"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.