Organization Active NPI

Manufacturer Direct Eyewear Inc.

  • Eyewear Supplier
  • Deerfield Beach, FL
National Provider Identifier
1437317864
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MANUFACTURER DIRECT EYEWEAR INC.
Practice address
142 W Hillsboro Blvd
Deerfield Beach, FL 33441-3433
Phone
(954) 570-9293
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. John Lombardi
Title
Owner
Phone
(954) 570-9293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

142 W Hillsboro Blvd
Deerfield Beach, FL 33441-3433

Mailing address

142 W Hillsboro Blvd
Deerfield Beach, FL 33441-3433
Phone (954) 570-9293

Other identifiers 1

IdentifierTypeStateIssuer
630363300MedicaidFL

National Provider Directory

National Provider Directory

Locations

142 W Hillsboro Blvd
Deerfield Beach, FL 33441
Phone (954) 426-3593

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1437317864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413433",
            "telephone_number": "954-570-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413433",
            "telephone_number": "954-570-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUFACTURER DIRECT EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-570-9293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630363300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.