P D Lab Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO1062 Issued in FL

Legal business name

P D LAB INC

Practice address

6169 Jog Rd
Ste A3
Lake Worth, FL 33467-6579

Phone

(561) 304-1234

Fax

(561) 304-1254

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Fox

Title

President Optician

Phone

(561) 304-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Wonders Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1720100399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 JOG RD",
            "address_2": "STE A3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676579",
            "telephone_number": "561-304-1234",
            "fax_number": "561-304-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 JOG RD",
            "address_2": "STE A3",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676579",
            "telephone_number": "561-304-1234",
            "fax_number": "561-304-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P D LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT OPTICIAN",
        "authorized_official_telephone_number": "561-304-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001904700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Wonders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariela Ortiz
• Kemper S. Orton, LMHC, NCC
• Iliana Rosa Otero
• Jacqueline Ouellette
• Nadege Ovilmar
• P&M Pharmacy LLC
• P&M Pharmacy, LLC
• Pablo R Prado, DMD, PA
• Erin Tiffany Pacheco, APRN
• Jeanette Pacheco

• Optician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.