Optic Nirvana

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIC NIRVANA

Practice address

10300 Forest Hill Blvd Ste 161
Wellington, FL 33414-3124

Phone

(561) 798-9001

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Ginger PopperNPI 1639604762

Title

Manager

Phone

(561) 798-9001

Specialties & licenses 1

Addresses

Other names 1

• Eyes of Wellington Doing business as

Electronic endpoints 3

Locations

Practitioners 2

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

• Ginger Popper, LDO

  • Optician
  • Wellington, FL
  • NPI 1639604762
  NPD Authorized official
• Suzanna Karen Wolski, OD

  • Optometrist
  • Wellington, FL
  • NPI 1649890492
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1861144487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 FOREST HILL BLVD STE 161",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143124",
            "telephone_number": "561-798-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 FOREST HILL BLVD STE 161",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143124",
            "telephone_number": "561-798-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC NIRVANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "POPPER",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-798-9001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellington",
            "affiliation": "N",
            "endpointDescription": "5617989001",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Wellington",
            "address_1": "10300 Forest Hill Blvd Ste 161",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334143124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellington",
            "affiliation": "N",
            "address_1": "10300 Forest Hill Blvd Ste 161",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334143124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "opticnirvana@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Wellington",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Wellington",
            "address_1": "10300 Forest Hill Blvd Ste 161",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334143124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eyes of Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Wellington, FL
• Providers in Wellington, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.