Eyeshoppe of Orlando, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OE1930 Issued in FL

Legal business name

EYESHOPPE OF ORLANDO, LLC

Practice address

10209 E Colonial Dr
130
Orlando, FL 32817-4306

Phone

(407) 382-7701

Fax

(407) 382-7702

NPI assigned

Dec 29, 2010

Last updated

Dec 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Hernandez Uycoco, OPTICIAN

Title

Manager/Optician

Phone

(407) 382-7701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1396049607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 E COLONIAL DR",
            "address_2": "130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174306",
            "telephone_number": "407-382-7701",
            "fax_number": "407-382-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 E COLONIAL DR",
            "address_2": "130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174306",
            "telephone_number": "407-382-7701",
            "fax_number": "407-382-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESHOPPE OF ORLANDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "UYCOCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "MANAGER/OPTICIAN",
        "authorized_official_telephone_number": "407-382-7701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE1930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.