NPIMap

Organization Active NPI

South Florida Vision Services, Inc.

  • Optometrist
  • Cutler Ridge, FL
National Provider Identifier
1417604323
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTH FLORIDA VISION SERVICES, INC.
Practice address
11510 Quail Roost Dr
Cutler Ridge, FL 33157-6548
Phone
(305) 256-3056
NPI assigned
Mar 10, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Robert C. Coppola, OD
Title
President
Phone
(954) 676-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11510 Quail Roost Dr
Cutler Ridge, FL 33157-6548

Mailing address

2900 W Cypress Creek Rd Ste 4
Ft Lauderdale, FL 33309-1715
Phone (954) 676-8446

National Provider Directory

National Provider Directory
Tax ID family
Robert C Coppola OD30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1417604323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W CYPRESS CREEK RD STE 4",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091715",
            "telephone_number": "954-676-8446",
            "fax_number": "954-979-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 QUAIL ROOST DR",
            "city": "CUTLER RIDGE",
            "state": "FL",
            "postal_code": "331576548",
            "telephone_number": "305-256-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA VISION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-676-8446",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Ridge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.