Organization Active NPI

Alligator Island Optical

  • Eyewear Supplier
  • Gainesville, FL
National Provider Identifier
1760636187
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
DO 5908 Issued in FL
Legal business name
ALLIGATOR ISLAND OPTICAL
Practice address
2725 SW 91St St
Suite 160
Gainesville, FL 32608-2781
Phone
(352) 332-9028
Fax
(352) 332-9030
NPI assigned
Nov 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mr. Gary Virgil Knowland, LDO
Title
Co Owner, Optician
Phone
(352) 332-9028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X DO 5908 FL Primary

Addresses

Primary practice location

2725 SW 91St St
Suite 160
Gainesville, FL 32608-2781

Mailing address

2725 SW 91St St
Suite 160
Gainesville, FL 32608-2781
Phone (352) 332-9028

National Provider Directory

National Provider Directory

Locations

2725 SW 91st St
Ste 160
Gainesville, FL 32608
Phone (352) 332-9028

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1760636187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 SW 91ST ST",
            "address_2": "SUITE 160",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082781",
            "telephone_number": "352-332-9028",
            "fax_number": "352-332-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 SW 91ST ST",
            "address_2": "SUITE 160",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082781",
            "telephone_number": "352-332-9028",
            "fax_number": "352-332-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIGATOR ISLAND OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "KNOWLAND",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "CO OWNER, OPTICIAN",
        "authorized_official_telephone_number": "352-332-9028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO 5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.