Coconut Creek Optical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

FL1722 Issued in FL

Legal business name

COCONUT CREEK OPTICAL INC.

Practice address

5351 Lyons Rd
Coconut Creek, FL 33073-2825

Phone

(954) 975-0009

Fax

(954) 975-0416

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Robert Goldsmith

Title

Optician

Phone

(954) 975-0009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1649441981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-975-0009",
            "fax_number": "954-975-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-975-0009",
            "fax_number": "954-975-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT CREEK OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "954-975-0009"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "FL1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonise Clesidor
• Coastal Med LLC
• Claudia Coba, MPT
• Coconut Creek Adult Day Care LLC
• Coconut Creek Alf Inc
• Coconut Creek Physicians P L
• Coconut Creek Professional Group LLC
• Coconut Creek Rehab LLC
• Coconut Creek Rehabilitation Inc
• Coconut Creek Rehabilitation Inc

• Durable Medical Equipment & Medical Supplies in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.