Optical Boutique Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL BOUTIQUE INC.

Practice address

901 NW 17TH St
Suite P
Miami, FL 33136-1135

Phone

(305) 324-0490

Fax

(305) 324-9890

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Farias

Title

Owner

Phone

(305) 324-0490

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jana Miki'Ala Souza, O.D.

  • Optometrist
  • Hilo, HI
  • NPI 1598913121
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1497954697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW 17TH ST",
            "address_2": "SUITE P",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361135",
            "telephone_number": "305-324-0490",
            "fax_number": "305-324-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 17TH ST",
            "address_2": "SUITE P",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361135",
            "telephone_number": "305-324-0490",
            "fax_number": "305-324-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL BOUTIQUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-324-0490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO2329",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078328500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tereza Camelia Oprea, PHARMD
• Ops Health Care Services, Inc
• Optic Wise Corp
• Optica Habana, Inc.
• Optica Nicaraguense
• Optical Center Express, LLC
• Optical Department of Miami. Inc
• Optical One Corp
• Opticare Medical Center
• Optima Health Care Services, Corp.

• Eyewear Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.