NPIMap

Organization Active NPI

Glasses RX, LLC

  • Eyewear Supplier
  • North Port, FL
National Provider Identifier
1609148675
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GLASSES RX, LLC
Practice address
14844 Tamiami TRL
North Port, FL 34287-2701
Phone
(941) 426-9521
Fax
(941) 426-8701
NPI assigned
Feb 6, 2012
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GLASSES RX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Michael Ames
Title
Cfo
Phone
(404) 964-8532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

14844 Tamiami TRL
North Port, FL 34287-2701

Mailing address

1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000151 FL DME Supplier - Physician - Optometrist 6103087069 Practice locations: North Port, FL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Glasses RX, LLC14844 Tamiami TRL, North Port, FL 34287-2701(941) 484-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Apr 19, 2012

National Provider Directory

National Provider Directory
Tax ID family
Glasses RX LLC12 organizations share this tax ID, including this one
Part of
Glasses RX LLC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14844 Tamiami Trl
North Port, FL 34287
Phone (941) 426-9521

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1609148675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14844 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "941-426-9521",
            "fax_number": "941-426-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSES RX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLASSES RX, LLC",
        "enumeration_date": "2012-02-06",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-964-8532"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.