Specoptics LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SPECOPTICS LLC

Practice address

10347 Cross Creek Blvd Ste C4
Tampa, FL 33647-2993

Phone

(813) 716-3593

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Khadra Ali-Mohamed, OPTICIAN DONPI 1992476857

Title

Ceo

Phone

(813) 716-3593

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Khadra S Ali-Mohamed, DO

  • Optician
  • Tampa, FL
  • NPI 1992476857
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1669040770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD STE C4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-716-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD STE C4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-716-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECOPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ALI-MOHAMED",
        "authorized_official_first_name": "KHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-716-3593",
        "authorized_official_credential": "OPTICIAN DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Tampa, FL
• Providers in Tampa, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.