Organization Active NPI

Charlotte Optical Inc

  • Eyewear Supplier
  • Port Charlotte, FL
National Provider Identifier
1801073416
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2032193 Issued in FL
Legal business name
CHARLOTTE OPTICAL INC
Practice address
18401 Murdock Cir
Suite a
Port Charlotte, FL 33948-1026
Phone
(941) 625-9077
Fax
(941) 258-9078
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mr. Muriel Nash
Title
Owner
Phone
(941) 625-9077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2032193 FL Primary

Addresses

Primary practice location

18401 Murdock Cir
Suite a
Port Charlotte, FL 33948-1026

Mailing address

18401 Murdock Cir
Suite a
Port Charlotte, FL 33948-1026
Phone (941) 625-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040073 FL DME Supplier - Optician 3274652557 Practice locations: Port Charlotte, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Charlotte Optical Inc18401 Murdock Cir Unit a, Port Charlotte, FL 33948-1026(941) 625-9077 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1801073416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 MURDOCK CIR",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481026",
            "telephone_number": "941-625-9077",
            "fax_number": "941-625-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 MURDOCK CIR",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481026",
            "telephone_number": "941-625-9077",
            "fax_number": "941-258-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-9077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "2032193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.