Organization Active NPI

Treasure Ford Optics

  • Optometrist
  • Tamarac, FL
National Provider Identifier
1477235752
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TREASURE FORD OPTICS
Practice address
4239 W Commercial Blvd
Tamarac, FL 33319-3305
Phone
(754) 202-5505
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Miss Shellnell Pettiford, OPTICIAN
Title
Supervisor
Phone
(754) 224-0594

Specialties & licenses 1

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

Addresses

Primary practice location

4239 W Commercial Blvd
Tamarac, FL 33319-3305

Mailing address

4239 W Commercial Blvd
Tamarac, FL 33319-3305
Phone (754) 202-5505

Other names 1

  • chanel ford optics llc Former legal business name

National Provider Directory

National Provider Directory

Locations

4239 W Commercial Blvd
Tamarac, FL 33319
Phone (754) 202-5505

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1477235752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193305",
            "telephone_number": "754-202-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193305",
            "telephone_number": "754-202-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE FORD OPTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "PETTIFORD",
        "authorized_official_first_name": "SHELLNELL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "754-224-0594",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chanel ford optics llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.