Active NPI
Geoffrey David Hullman, OPTICIAN
- Optician
- Miami Beach, FL
National Provider Identifier
1720072283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO504 | FL | MD | Optician |
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.