Active NPI
SNG Labs-SNG Prosthetic Eye Institute, Inc.
- Durable Medical Equipment & Medical Supplies
- North Miami Beach, FL
National Provider Identifier
1801209572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.
- Practice address
- 1701 NE 164TH St
Suite 200
North Miami Beach, FL 33162-4018 - Phone
- (561) 391-7099
- NPI assigned
- Jun 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Garonzik
- Title
- President
- Phone
- (561) 391-7099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1701 NE 164TH St
Suite 200
North Miami Beach, FL 33162-4018
Mailing address
16244 S Military TRL Ste 420
Delray Beach, FL 33484-6505
Phone (561) 391-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950376500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1801209572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16244 S MILITARY TRL STE 420",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846505",
"telephone_number": "561-391-7099",
"fax_number": "561-354-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NE 164TH ST",
"address_2": "SUITE 200",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624018",
"telephone_number": "561-391-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2022-08-15",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "GARONZIK",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-391-7099"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "950376500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.