Organization Active NPI

Mercy Optical Inc

  • Specialist
  • Hialeah, FL
National Provider Identifier
1487764403
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OE 968 Issued in FL
Legal business name
MERCY OPTICAL INC
Practice address
2095 W 76TH St
Hialeah, FL 33016-1834
Phone
(305) 698-3030
Fax
(305) 698-3030
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mrs. Mercedes PadronNPI 1609056753
Title
President
Phone
(305) 698-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OE 968 FL Primary

Addresses

Primary practice location

2095 W 76TH St
Hialeah, FL 33016-1834

Mailing address

2095 W 76TH St
Hialeah, FL 33016-1834
Phone (305) 698-3030

Other names 1

  • CITY OPTICAL OUTLET Doing business as

National Provider Directory

National Provider Directory

Locations

2095 W 76th St
Hialeah, FL 33016
Phone (305) 698-3030

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1487764403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "305-698-3030",
            "fax_number": "305-698-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 76TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "305-698-3030",
            "fax_number": "305-698-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-698-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OE 968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OPTICAL OUTLET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2007; 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.