Children's Eyewear Center, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CHILDREN'S EYEWEAR CENTER, INC

Practice address

1717 S Orange Ave
Orlando, FL 32806

Phone

(407) 422-6798

Fax

(407) 992-7053

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Mark Vincent MandeseNPI 1255838462

Title

Owner

Phone

(407) 234-5788

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Vincent Mandese, LDO

  • Optician
  • Orlando, FL
  • NPI 1255838462
  NPD (past) Authorized official

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1700379385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GOLDENMOSS LOOP",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614783",
            "telephone_number": "407-234-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-422-6798",
            "fax_number": "407-992-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EYEWEAR CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "MANDESE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-234-5788"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3019",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100145900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children's Cardiology Clinic
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• Children's Care Campus, Inc.
• Children's Care Campus, Inc.
• Children's Care Campus, Inc. (ChildrenFirst PPEC)
• Children's Eyewear, Inc.
• Children's Health Alliance, LLC
• Children's Home Medical Equipment Inc
• Children's Home Society
• Children's Home Society of Florida

• Eyewear Supplier in Orlando, FL
• Providers in Orlando, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.