Organization Active NPI

Santa Lucia Optical Inc

  • Eyewear Supplier
  • Hialeah Gardens, FL
National Provider Identifier
1801262084
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE1635 Issued in FL
Legal business name
SANTA LUCIA OPTICAL INC
Practice address
11300 NW 87TH CT Ste 115
Hialeah Gardens, FL 33018-4516
Phone
(305) 817-1818
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Alfredo Gill
Title
President
Phone
(305) 817-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE1635 FL Primary

Addresses

Primary practice location

11300 NW 87TH CT Ste 115
Hialeah Gardens, FL 33018-4516

Mailing address

11300 NW 87TH CT Ste 115
Hialeah Gardens, FL 33018-4516
Phone (305) 817-1818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1801262084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 115",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184516",
            "telephone_number": "305-817-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 NW 87TH CT STE 115",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184516",
            "telephone_number": "305-817-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA LUCIA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-817-1818"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.