Organization Active NPI

South Shore Opticians Lauderhill Inc

  • Optician
  • Lauderhill, FL
National Provider Identifier
1750616272
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO794 Issued in FL
Legal business name
SOUTH SHORE OPTICIANS LAUDERHILL INC
Practice address
1375 NW 40TH Ave
Lauderhill, FL 33313-5884
Phone
(954) 792-9111
Fax
(561) 367-1209
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Jeff Yablon
Title
Pres.
Phone
(561) 395-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DO794 FL Primary

Addresses

Primary practice location

1375 NW 40TH Ave
Lauderhill, FL 33313-5884

Mailing address

1375 NW 40TH Ave
Lauderhill, FL 33313-5884
Phone (954) 792-9111

National Provider Directory

National Provider Directory
Tax ID family
South Shore Opticians Lauderhill Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1375 NW 40th Ave
Lauderhill, FL 33313
Phone (954) 483-0415

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1750616272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 NW 40TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135884",
            "telephone_number": "954-792-9111",
            "fax_number": "561-367-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 NW 40TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135884",
            "telephone_number": "954-792-9111",
            "fax_number": "561-367-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE OPTICIANS LAUDERHILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "YABLON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "561-395-8645"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.