NPIMap

Organization Active NPI

SNG Labs-SNG Prosthetic Eye Institute, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jupiter, FL
National Provider Identifier
1891264412
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.
Practice address
641 University Blvd Ste 111
Jupiter, FL 33458-2792
Phone
(561) 391-7099
Fax
(561) 392-1039
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Nicole Garonzik
Title
Owner
Phone
(561) 391-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

641 University Blvd Ste 111
Jupiter, FL 33458-2792

Mailing address

4445 Woodfield Blvd
Boca Raton, FL 33434-5309
Phone (561) 391-7099

Other identifiers 1

IdentifierTypeStateIssuer
950376500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
SNG Labs-SNG Prosthetic Eye Institute Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1891264412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 WOODFIELD BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345309",
            "telephone_number": "561-391-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 111",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582792",
            "telephone_number": "561-391-7099",
            "fax_number": "561-392-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNG LABS-SNG PROSTHETIC EYE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GARONZIK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-7099"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950376500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.