Progressive Optical Designs

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PROGRESSIVE OPTICAL DESIGNS

Practice address

21178 Olean Blvd
Suite B
Port Charlotte, FL 33952-6728

Phone

(941) 629-1211

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Craig Czyz, D.O.

Title

Managing Member

Phone

(941) 629-1211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1871768879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21178 OLEAN BLVD",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526728",
            "telephone_number": "941-629-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21178 OLEAN BLVD",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526728",
            "telephone_number": "941-629-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE OPTICAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "CZYZ",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-629-1211",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.