Active NPI
Southshore Opticians Boca Inc
- Optician
- Boca Raton, FL
National Provider Identifier
1467657494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5086
- Legal business name
- SOUTHSHORE OPTICIANS BOCA INC
- Practice address
- 1944 NE 5TH Ave
Boca Raton, FL 33431-7702 - Phone
- (561) 368-2878
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Freedman
- Title
- President Owner
- Phone
- (561) 368-2878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO5086 | FL | Primary |
Addresses
Primary practice location
1944 NE 5TH Ave
Boca Raton, FL 33431-7702
Mailing address
1944 NE 5TH Ave
Boca Raton, FL 33431-7702
Phone (561) 368-2878
National Provider Directory
National Provider DirectoryLocations
1944 NE 5th Ave
Boca Raton, FL 33431
Phone (561) 368-2878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Margate, FL
- NPI 1225148422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203120000000",
"number": "1467657494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 NE 5TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317702",
"telephone_number": "561-368-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 NE 5TH AVE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334317702",
"telephone_number": "561-368-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHSHORE OPTICIANS BOCA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2008-02-16",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "561-368-2878"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO5086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.