NPIMap

Organization Active NPI

Eyewear Republic

  • Optometrist
  • Pompano Beach, FL
National Provider Identifier
1669765665
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4577 Issued in FL
Legal business name
EYEWEAR REPUBLIC
Practice address
567 E Sample Rd
Pompano Beach, FL 33064-4425
Phone
(801) 808-5397
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Dell Benjamin White, O.D.
Title
President
Phone
(801) 808-5397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4577 FL Primary

Addresses

Primary practice location

567 E Sample Rd
Pompano Beach, FL 33064-4425

Mailing address

160 SW 117TH Ter Apt 104
Pembroke Pines, FL 33025-3491
Phone (801) 808-5397

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1669765665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW 117TH TER APT 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253491",
            "telephone_number": "801-808-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644425",
            "telephone_number": "801-808-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR REPUBLIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DELL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-808-5397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.