Organization Active NPI

Specs and Winks

  • Optician
  • Jupiter, FL
National Provider Identifier
1720103443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5447 Issued in FL
Legal business name
SPECS AND WINKS
Practice address
175 Toney Penna Dr
Suite 102
Jupiter, FL 33458-5755
Phone
(561) 745-6464
Fax
(561) 745-4066
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Blake
Title
Owner
Phone
(561) 745-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DO5447 FL Primary

Addresses

Primary practice location

175 Toney Penna Dr
Suite 102
Jupiter, FL 33458-5755

Mailing address

175 Toney Penna Dr
Suite 102
Jupiter, FL 33458-5755
Phone (561) 745-6464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720103443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-745-6464",
            "fax_number": "561-745-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TONEY PENNA DR",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585755",
            "telephone_number": "561-745-6464",
            "fax_number": "561-745-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECS AND WINKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-745-6464"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.