Organization Active NPI

Optical Express of Crystal River Inc

  • Eyewear Supplier
  • Crystal River, FL
National Provider Identifier
1710148671
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL EXPRESS OF CRYSTAL RIVER INC
Practice address
1801 NW US Hwy 19
Suite 165
Crystal River, FL 34428-6119
Phone
(352) 795-2020
Fax
(352) 795-7432
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hilda Anne McFall Fialko
Title
Optician Owner
Phone
(352) 795-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1801 NW US Hwy 19
Suite 165
Crystal River, FL 34428-6119

Mailing address

1801 NW US Highway 19
Suite 165
Crystal River, FL 34428-6133
Phone (352) 795-2020

National Provider Directory

National Provider Directory

Locations

1801 NW US Highway 19
Ste 165
Crystal River, FL 34428
Phone (352) 795-2020

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710148671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW US HIGHWAY 19",
            "address_2": "SUITE 165",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286133",
            "telephone_number": "352-795-2020",
            "fax_number": "352-795-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW US HWY 19",
            "address_2": "SUITE 165",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286119",
            "telephone_number": "352-795-2020",
            "fax_number": "352-795-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESS OF CRYSTAL RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCFALL FIALKO",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "352-795-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.