Organization Active NPI

20 20 Optics LLC

Doing business as 20/20 Optics

  • Optician
  • Hialeah Gardens, FL
National Provider Identifier
1740974328
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
20 20 OPTICS LLC
Doing business as
20/20 Optics
Practice address
11850 Hialeah Gardens Blvd Unit 123
Hialeah Gardens, FL 33018-4280
Phone
(786) 690-0045
NPI assigned
Jun 6, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Mr. Jose M Mesa, DO
Title
Optician
Phone
(305) 761-4689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

11850 Hialeah Gardens Blvd Unit 123
Hialeah Gardens, FL 33018-4280

Mailing address

11850 Hialeah Gardens Blvd Unit 123
Hialeah Gardens, FL 33018-4280
Phone (786) 690-0045

Other names 1

  • 20/20 OPTICS Doing business as

National Provider Directory

National Provider Directory

Locations

11850 Hialeah Gardens Blvd
Unit 123
Hialeah Gardens, FL 33018
Phone (786) 690-0045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1740974328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 HIALEAH GARDENS BLVD UNIT 123",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184280",
            "telephone_number": "786-690-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 HIALEAH GARDENS BLVD UNIT 123",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184280",
            "telephone_number": "786-690-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 20 OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "305-761-4689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 OPTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.