Optimart, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTIMART, INC.

Practice address

4359 35TH St N
St Petersburg, FL 33714-3717

Phone

(727) 525-3959

Fax

(727) 914-8610

NPI assigned

May 9, 2017

Organization subpart

No

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

Authorized official

Name

Gregory Louis Mathis

Title

Administrator

Phone

(727) 914-8615

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Optimart 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.

• Optimart, Inc.

  • Optician
  • St Petersburg, FL
  • NPI 1316154164
  NPD tax ID

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1780110924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143717",
            "telephone_number": "727-914-8615",
            "fax_number": "727-914-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143717",
            "telephone_number": "727-525-3959",
            "fax_number": "727-914-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-914-8615"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630126600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Performance & Physical Therapies Tyrone, LLC
• Optimal Performance and Physical Therapies St. Petersburg, LLC
• Optimal Vitality Institute LLC
• Optimart, Inc.
• Optimart, Inc.
• Optimized Therapy Transitions, LLC
• Optimum Home Care of Florida LLC
• Optimum in-Home Aide Agency LLC
• Options Medical Clinical, P.a.
• Optum Behavioral Care of North Carolina, P.C.

• Optician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.