NPIMap

Organization Active NPI

Ocean Optical

  • Eyewear Supplier
  • Edgewater, FL
National Provider Identifier
1396918561
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2275 Issued in FL
Legal business name
OCEAN OPTICAL
Practice address
600 N Ridgewood Ave
Edgewater, FL 32132-1659
Phone
(386) 423-2239
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Timothy Ray NolanNPI 1871640532
Title
Owner/Licensed Optician
Phone
(386) 423-2239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2275 FL Primary

Addresses

Primary practice location

600 N Ridgewood Ave
Edgewater, FL 32132-1659

Mailing address

600 N Ridgewood Ave
Edgewater, FL 32132-1659
Phone (386) 423-2239

National Provider Directory

National Provider Directory

Locations

600 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 423-2239

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1396918561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321659",
            "telephone_number": "386-423-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N RIDGEWOOD AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321659",
            "telephone_number": "386-423-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/LICENSED OPTICIAN",
        "authorized_official_telephone_number": "386-423-2239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

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