Individual provider Active NPI

Geoffrey David Hullman, OPTICIAN

  • Optician
  • Miami Beach, FL
National Provider Identifier
1720072283
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO504 Issued in FL
Practice address
552 Arthur Godfrey Rd
Miami Beach, FL 33140-3510
Phone
(305) 534-2288
Fax
(305) 534-9214
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO504 FL Primary

Addresses

Primary practice location

552 Arthur Godfrey Rd
Miami Beach, FL 33140-3510

Mailing address

552 Arthur Godfrey Rd
Miami Beach, FL 33140-3510
Phone (305) 534-2288

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

LicenseStateTypeSpecialty
DO504FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1720072283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 ARTHUR GODFREY RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403510",
            "telephone_number": "305-534-2288",
            "fax_number": "305-534-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 ARTHUR GODFREY RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403510",
            "telephone_number": "305-534-2288",
            "fax_number": "305-534-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLMAN",
        "first_name": "GEOFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.