Individual provider Active NPI

John Garcia

  • Optician
  • Hollywood, FL
National Provider Identifier
1881232106
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5866 Issued in FL
Practice address
6618 Stirling Rd
Hollywood, FL 33024-1954
Phone
(954) 812-9232
Fax
(954) 374-6783
NPI assigned
Dec 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 5866 FL Primary

Addresses

Primary practice location

6618 Stirling Rd
Hollywood, FL 33024-1954

Mailing address

4715 SW 62ND Ave # 3101
Davie, FL 33314-4460
Phone (954) 646-2847

Other names 1

  • Juan Garcia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5866FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on the Go Optical LLC Optician CurrentSince Dec 16, 2020 Accepting new patients

Locations

6618 Stirling Rd
Hollywood, FL 33024
Phone (954) 812-9232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1881232106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 SW 62ND AVE # 3101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144460",
            "telephone_number": "954-646-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241954",
            "telephone_number": "954-812-9232",
            "fax_number": "954-374-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "GARCIA",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.