Organization Active NPI

Rush Optical Inc.

  • Eyewear Supplier
  • North Miami Beach, FL
National Provider Identifier
1649454448
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
RUSH OPTICAL INC.
Practice address
1644 NE 164TH St
North Miami Beach, FL 33162-4017
Phone
(305) 945-3615
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Authorized official

Name
Mr. Maurice W Gilbert, MDNPI 1588614663
Title
Owner
Phone
(305) 945-3615

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 FL Primary

Addresses

Primary practice location

1644 NE 164TH St
North Miami Beach, FL 33162-4017

Mailing address

1644 NE 164TH St
North Miami Beach, FL 33162-4017
Phone (305) 945-3615

Other identifiers 1

IdentifierTypeStateIssuer
086866300MedicaidFL

National Provider Directory

National Provider Directory

Locations

1644 NE 164th St
North Miami Beach, FL 33162
Phone (305) 654-1121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1649454448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624017",
            "telephone_number": "305-945-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 NE 164TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624017",
            "telephone_number": "305-945-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-945-3615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086866300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.