Active NPI
First Image Optical LC
- Durable Medical Equipment & Medical Supplies
- Summerfield, FL
National Provider Identifier
1497937015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FIRST IMAGE OPTICAL LC
- Practice address
- 17556 SE 109TH Terrace Rd
Summerfield, FL 34491-6907 - Phone
- (352) 735-2020
- Fax
- (352) 735-3233
- NPI assigned
- Dec 5, 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
- George L Neal
- Title
- President
- Phone
- (469) 214-0144
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
17556 SE 109TH Terrace Rd
Summerfield, FL 34491-6907
Mailing address
17562 Highway 441
Mount Dora, FL 32757-6711
Phone (352) 735-2020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1497937015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17562 HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576711",
"telephone_number": "352-735-2020",
"fax_number": "352-735-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17556 SE 109TH TERRACE RD",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344916907",
"telephone_number": "352-735-2020",
"fax_number": "352-735-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST IMAGE OPTICAL LC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-214-0144"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerfield, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.