Channelside Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OE2231 Issued in FL

Legal business name

CHANNELSIDE OPTICAL LLC

Doing business as

OPES OPTICAL

Practice address

912 Channelside Dr
Suite 2102
Tampa, FL 33602-4229

Phone

(813) 906-6737

Fax

(855) 916-6737

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sara Rosen, DO

Title

Dispensing Optician

Phone

(813) 906-6737

Specialties & licenses 1

Addresses

Other names 1

• OPES OPTICAL Doing business as

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1598213209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 CHANNELSIDE DR",
            "address_2": "SUITE 2102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024229",
            "telephone_number": "813-906-6737",
            "fax_number": "855-916-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CHANNELSIDE DR",
            "address_2": "SUITE 2102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024229",
            "telephone_number": "813-906-6737",
            "fax_number": "855-916-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNELSIDE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "813-906-6737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE2231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPES OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simone M Chang, MD
• Young Doo Chang, M.D.
• Change the Narrative Counseling LLC
• Varun Channagiri, M.D.
• Kimberly Anne Channels, PA
• Arthur Channer, PSY.D., BCBA-D
• Aimon Amy Chantara, PHARMD
• Cattaleeya Chantaros, APRN
• Charmelene Chanthabouasith
• Raylien Chao, D.D.S., M.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.