Active NPI
Magnum Bien Aime, LDO
- Optician
- Boca Raton, FL
National Provider Identifier
1689283160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6822
- Practice address
- 122 W Palmetto Park Rd
Boca Raton, FL 33432-3828 - Phone
- (561) 368-5844
- Fax
- (561) 368-5844
- NPI assigned
- Jul 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 6822 | FL | Primary |
Addresses
Primary practice location
122 W Palmetto Park Rd
Boca Raton, FL 33432-3828
Mailing address
122 W Palmetto Park Rd
Boca Raton, FL 33432-3828
Phone (561) 368-5844
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eyewearus1@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6822 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyewear R US LLC | Optician | Current | Accepting new patients |
| Eye-Wear Glasses III Inc | Past | Accepting new patients |
Locations
122 W Palmetto Park Rd
Boca Raton, FL 33432
Phone (561) 368-5844
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Boca Raton, FL
- NPI 1073254231
-
- Eyewear Supplier
- Boca Raton, FL
- NPI 1609075019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1689283160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W PALMETTO PARK RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323828",
"telephone_number": "561-368-5844",
"fax_number": "561-368-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W PALMETTO PARK RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323828",
"telephone_number": "561-368-5844",
"fax_number": "561-368-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEN AIME",
"first_name": "MAGNUM",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-30",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "6822",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eyewearus1@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "122 W Palmetto Park Rd",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334323828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.