Organization Active NPI

Super Optical Center

  • Ophthalmic Technician/Technologist
  • Hialeah, FL
National Provider Identifier
1457555005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
Legal business name
SUPER OPTICAL CENTER
Practice address
3805 W 16TH Ave
Hialeah, FL 33012-7004
Phone
(305) 821-7654
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carmen Lopez
Title
Vice-President
Phone
(305) 821-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1100X Primary

Addresses

Primary practice location

3805 W 16TH Ave
Hialeah, FL 33012-7004

Mailing address

3805 W 16TH Ave
Hialeah, FL 33012-7004

National Provider Directory

National Provider Directory
Tax ID family
Super Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457555005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127004",
            "telephone_number": "305-821-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-821-7654"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.