Individual provider Active NPI

Brittany Lolos, DO

  • Optician
  • Stuart, FL
National Provider Identifier
1730728981
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
7291 Issued in FL
Practice address
3736 SE Ocean Blvd
Stuart, FL 34996-6713
Phone
(772) 247-7573
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 7291 FL Primary

Addresses

Primary practice location

3736 SE Ocean Blvd
Stuart, FL 34996-6713

Mailing address

3736 SE Ocean Blvd
Stuart, FL 34996-6713
Phone (772) 247-7573

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7291FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
See and Sun Optical Optician CurrentSince Jan 12, 2020 Accepting new patients

Locations

3736 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 247-7573

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1730728981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349966713",
            "telephone_number": "772-247-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349966713",
            "telephone_number": "772-247-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLOS",
        "first_name": "BRITTANY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "7291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

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