Active NPI
Halphen Lens Co.
- Eyewear Supplier
- Doral, FL
National Provider Identifier
1619752714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- HALPHEN LENS CO.
- Practice address
- 4815 NW 79TH Ave Ste 11
Doral, FL 33166-5437 - Phone
- (786) 558-4606
- Fax
- (786) 359-4154
- NPI assigned
- Aug 28, 2023
- Last updated
- Mar 8, 2024
- Organization subpart
- Yes
- Parent organization
- HALPHEN LENS CO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roger Halphen
- Title
- President
- Phone
- (786) 558-4606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4815 NW 79TH Ave Ste 11
Doral, FL 33166-5437
Mailing address
4815 NW 79TH Ave Ste 11
Doral, FL 33166-5437
Phone (786) 558-4606
Other names 1
- HALPHEN LENS CO.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241206002238 | FL | DME Supplier - Physician - Optometrist | 7214463793 | Practice locations: Doral, FL |
National Provider Directory
National Provider Directory- Part of
- Halphen Lens Co
Locations
4815 NW 79th Ave
Ste 11
Doral, FL 33166
Phone (786) 558-4606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optician
- Miami Springs, FL
- NPI 1205954682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1619752714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 NW 79TH AVE STE 11",
"city": "DORAL",
"state": "FL",
"postal_code": "331665437",
"telephone_number": "786-558-4606",
"fax_number": "786-359-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 NW 79TH AVE STE 11",
"city": "DORAL",
"state": "FL",
"postal_code": "331665437",
"telephone_number": "786-558-4606",
"fax_number": "786-359-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALPHEN LENS CO.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HALPHEN LENS CO",
"enumeration_date": "2023-08-28",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "HALPHEN",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-558-4606",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HALPHEN LENS CO.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.