NPIMap

Organization Active NPI

Optical Eyeworks Inc

  • Optician
  • Coral Springs, FL
National Provider Identifier
1386788602
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
FL1906 Issued in FL
Legal business name
OPTICAL EYEWORKS INC
Practice address
8124 Wiles Rd
Coral Springs, FL 33067-2061
Phone
(954) 757-2468
Fax
(954) 757-2456
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mr. Joel Wilk
Title
President
Phone
(954) 757-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X FL1906 FL Primary

Addresses

Primary practice location

8124 Wiles Rd
Coral Springs, FL 33067-2061

Mailing address

8124 Wiles Rd
Coral Springs, FL 33067-2061
Phone (954) 757-2468

Other identifiers 1

IdentifierTypeStateIssuer
630203300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1386788602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672061",
            "telephone_number": "954-757-2468",
            "fax_number": "954-757-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672061",
            "telephone_number": "954-757-2468",
            "fax_number": "954-757-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EYEWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-757-2468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "FL1906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630203300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.