Hollyspectacles LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

HOLLYSPECTACLES LLC

Doing business as

Hollywood Spectacles Optical

Practice address

454 W Colorado St
Glendale, CA 91204-1504

Phone

(818) 458-6934

NPI assigned

Jul 20, 2019

Last updated

Jul 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Villacrucis, ABOCNPI 1104471994

Title

Aboc

Phone

(818) 458-6934

Specialties & licenses 1

Addresses

Other names 1

• HOLLYWOOD SPECTACLES OPTICAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Villacrucis, ABOC

  • Optician
  • Glendale, CA
  • NPI 1104471994
  NPD Authorized official

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563580800000",
    "number": "1871146670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041504",
            "telephone_number": "818-458-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041504",
            "telephone_number": "818-458-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYSPECTACLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A",
        "authorized_official_last_name": "VILLACRUCIS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ABOC",
        "authorized_official_telephone_number": "818-458-6934",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLYWOOD SPECTACLES OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Glendale, CA
• Providers in Glendale, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.