Organization Active NPI

Central Florida Optical, LLC

  • Eyewear Supplier
  • Orlando, FL
National Provider Identifier
1467908228
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DO6032 Issued in FL
Legal business name
CENTRAL FLORIDA OPTICAL, LLC
Practice address
1900 N Orange Ave
Orlando, FL 32804-5531
Phone
(407) 896-8990
Fax
(407) 896-6034
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. Wesley D Stuart, LDO
Title
Licensed Optician
Phone
(407) 896-8990

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0801X DO6032 FL
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X DO6032 FL
Eyewear Supplier 332H00000X DO6032 FL Primary

Addresses

Primary practice location

1900 N Orange Ave
Orlando, FL 32804-5531

Mailing address

1900 N Orange Ave
Orlando, FL 32804-5531
Phone (407) 896-8990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1467908228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045531",
            "telephone_number": "407-896-8990",
            "fax_number": "407-896-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045531",
            "telephone_number": "407-896-8990",
            "fax_number": "407-896-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "407-896-8990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "FL",
            "license": "DO6032",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6032",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO6032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.