Family Eyewear

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

112519 Issued in FL

Legal business name

FAMILY EYEWEAR

Practice address

1821 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5544

Phone

(772) 337-5332

Fax

(772) 337-5373

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Siliviano J Matamoros, MD

Title

Owner

Phone

(772) 337-5332

Specialties & licenses 1

Addresses

Other names 1

• CENTER FOR EYE CARE AND SURGERY Other name

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1891973350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525544",
            "telephone_number": "772-337-5332",
            "fax_number": "772-337-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525544",
            "telephone_number": "772-337-5332",
            "fax_number": "772-337-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MATAMOROS",
        "authorized_official_first_name": "SILIVIANO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-337-5332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "112519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR EYE CARE AND SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Eyewear Supplier in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.