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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in North Port, FL · Eyewear Supplier in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.