Optical by the Sea, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO-3073 Issued in FL

Legal business name

OPTICAL BY THE SEA, INC.

Practice address

235 East Commercial Blvd. Suite # 103
Lauderdale by the Sea, FL 33308-4430

Phone

(954) 491-5818

Fax

(954) 491-5819

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Steven Edonais Jordan, OPTICIANNPI 1538438619

Title

Owner / Optician

Phone

(954) 491-5818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Jordan

  • Optician
  • Lauderdale by the Sea, FL
  • NPI 1538438619
  NPD (past) Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1851658264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 EAST COMMERCIAL BLVD. SUITE # 103",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084430",
            "telephone_number": "954-491-5818",
            "fax_number": "954-491-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 EAST COMMERCIAL BLVD. SUITE # 103",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084430",
            "telephone_number": "954-491-5818",
            "fax_number": "954-491-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL BY THE SEA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EDONAIS",
        "authorized_official_title_or_position": "OWNER / OPTICIAN",
        "authorized_official_telephone_number": "954-491-5818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO-3073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.