Organization Active NPI

Hyatt Optical Inc

  • Eyewear Supplier
  • South Pasadena, FL
National Provider Identifier
1861661340
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE177 Issued in FL
Legal business name
HYATT OPTICAL INC
Practice address
6800 Gulfport Blvd S
219
South Pasadena, FL 33707-2163
Phone
(727) 384-9141
Fax
(727) 347-5108
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Robert A Bryan, O.D.
Title
Owner
Phone
(727) 384-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE177 FL Primary

Addresses

Primary practice location

6800 Gulfport Blvd S
219
South Pasadena, FL 33707-2163

Mailing address

6800 Gulfport Blvd S
219
South Pasadena, FL 33707-2163
Phone (727) 384-9141

Other names 1

  • HYATT OPTICAL INC Other name

National Provider Directory

National Provider Directory

Locations

6800 Gulfport Blvd S
Ste 219
South Pasadena, FL 33707
Phone (727) 344-2700

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1861661340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 GULFPORT BLVD S",
            "address_2": "219",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072163",
            "telephone_number": "727-384-9141",
            "fax_number": "727-347-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 GULFPORT BLVD S",
            "address_2": "219",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072163",
            "telephone_number": "727-384-9141",
            "fax_number": "727-347-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYATT OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-384-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HYATT OPTICAL INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.