Organization Active NPI

Southshore Opticians Boca Inc

  • Optician
  • Boca Raton, FL
National Provider Identifier
1467657494
Registry record updated Feb 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5086 Issued in FL
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

Updated by the provider on Feb 16, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.