NPIMap

Organization Active NPI

1808 Investments LLC, Dba Optical Plus

  • Eyewear Supplier
  • Hialeah, FL
National Provider Identifier
1700283553
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DO4836 Issued in FL
Legal business name
1808 INVESTMENTS LLC, DBA OPTICAL PLUS
Practice address
5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone
(305) 362-4020
Fax
(305) 362-2592
NPI assigned
Nov 21, 2014
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Mr. Samuel Salas
Title
President
Phone
(305) 362-4020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X DO4836 FL Primary
Optician 156FX1800X DO4836 FL

Addresses

Primary practice location

5372 W 16TH Ave
Hialeah, FL 33012-2165

Mailing address

5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone (305) 362-4020

Other identifiers 2

IdentifierTypeStateIssuer
630164900MedicaidFL
620096600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1700283553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-362-4020",
            "fax_number": "305-362-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-362-4020",
            "fax_number": "305-362-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1808 INVESTMENTS LLC, DBA OPTICAL PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-362-4020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO4836",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630164900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620096600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.