20/20 Optical Dispensary, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1171 Issued in FL

Legal business name

20/20 OPTICAL DISPENSARY, INC.

Practice address

100 S Military TRL Ste 6
Deerfield Beach, FL 33442-3031

Phone

(954) 571-2022

Fax

(954) 571-2922

NPI assigned

Oct 25, 2010

Last updated

Oct 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Guilherme William Dwin, LDO

Title

Optician/ Owner

Phone

(954) 571-2022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1689974669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 6",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-571-2022",
            "fax_number": "954-571-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 6",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-571-2022",
            "fax_number": "954-571-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 OPTICAL DISPENSARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "DWIN",
        "authorized_official_first_name": "GUILHERME",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OPTICIAN/ OWNER",
        "authorized_official_telephone_number": "954-571-2022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.