Organization Active NPI

Sunglass Depot Optical

  • Eyewear Supplier
  • Miami, FL
National Provider Identifier
1902209786
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SUNGLASS DEPOT OPTICAL
Practice address
1869 NW 20TH St
Miami, FL 33142-7431
Phone
(305) 549-7333
Fax
(305) 549-7339
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mr. Jorge A Guerra
Title
President
Phone
(305) 549-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X FL Primary

Addresses

Primary practice location

1869 NW 20TH St
Miami, FL 33142-7431

Mailing address

1869 NW 20TH St
Miami, FL 33142-7431
Phone (305) 549-7333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1902209786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 NW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427431",
            "telephone_number": "305-549-7333",
            "fax_number": "305-549-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 NW 20TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427431",
            "telephone_number": "305-549-7333",
            "fax_number": "305-549-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGLASS DEPOT OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-549-7333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.