Community Eye Optical LC

Organization Active NPI Eyewear Supplier · North Port, FL

NPI 1629370283 · NPPES record last updated Dec 2, 2010

Key facts

NPI
1629370283
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
License
79133 (FL)
Legal business name
COMMUNITY EYE OPTICAL LC
Practice address
1331 S Sumter Blvd
North Port, FL 34287-2339
Phone
(941) 423-8237
Fax
(941) 423-8618
NPI assigned
Dec 2, 2010
Organization subpart
No

Authorized official

Name
Mrs. Holly M Burnette
Title
Practice Administrator
Phone
(941) 625-1325

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 79133 FL Yes

Addresses

Primary practice location

1331 S Sumter Blvd
North Port, FL 34287-2339

Mailing address

1331 S Sumter Blvd
North Port, FL 34287-2339
Phone (941) 423-8237

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2010.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1629370283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 S SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872339",
            "telephone_number": "941-423-8237",
            "fax_number": "941-423-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872339",
            "telephone_number": "941-423-8237",
            "fax_number": "941-423-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EYE OPTICAL LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-625-1325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "79133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

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Sources for this page

Verify at the official NPI Registry.