Active NPI
Clearsight South Opticians
- Eyewear Supplier
- Fort Lauderdale, FL
National Provider Identifier
1740048271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- CLEARSIGHT SOUTH OPTICIANS
- Practice address
- 1378 SE 17TH St
Fort Lauderdale, FL 33316-1708 - Phone
- (954) 761-3937
- NPI assigned
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Goodman
- Title
- Optician
- Phone
- (954) 761-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1378 SE 17TH St
Fort Lauderdale, FL 33316-1708
Mailing address
1378 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (954) 761-3937
Other names 1
- Clearsight Opticians
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1740048271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-761-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1378 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-761-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARSIGHT SOUTH OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "954-761-3937"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clearsight Opticians",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.