Organization Active NPI

Halphen Lens Co.

  • Eyewear Supplier
  • Doral, FL
National Provider Identifier
1619752714
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HALPHEN LENS COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Mr. Roger HalphenNPI 1205954682
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)CodeLicenseStatePrimary
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. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.