NPIMap

Organization Active NPI

Eye Doctors Optical Outlets, PA

Doing business as Eye Doctors Optical Outlets

  • Optometrist
  • Palm Bay, FL
National Provider Identifier
1437827599
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE DOCTORS OPTICAL OUTLETS, PA
Doing business as
Eye Doctors Optical Outlets
Practice address
1150 Malabar Rd SE Ste 110
Palm Bay, FL 32907-3239
Phone
(321) 977-5158
Fax
(321) 766-6731
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Robert C. Coppola, OD
Title
President
Phone
(954) 917-2337

Specialties & licenses 1

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

Addresses

Primary practice location

1150 Malabar Rd SE Ste 110
Palm Bay, FL 32907-3239

Mailing address

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 885-3937

Other names 1

  • Eye Doctors Optical Outlets Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Doctors Optical Outlets PA54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1437827599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 JOHNS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344499",
            "telephone_number": "813-885-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MALABAR RD SE STE 110",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073239",
            "telephone_number": "321-977-5158",
            "fax_number": "321-766-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS OPTICAL OUTLETS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "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": "954-917-2337",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Eye Doctors Optical Outlets",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.