Organization Active NPI

Royal Palm Optical, Inc.

  • Eyewear Supplier
  • Boca Raton, FL
National Provider Identifier
1912190919
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
FL3281 Issued in FL
Legal business name
ROYAL PALM OPTICAL, INC.
Practice address
17940 Military TRL
Suite 400
Boca Raton, FL 33496-2499
Phone
(561) 912-0800
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Jan Kirsch, LDO
Title
President
Phone
(561) 912-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X FL3281 FL Primary
Eyewear Supplier 332H00000X FL5348 FL

Addresses

Primary practice location

17940 Military TRL
Suite 400
Boca Raton, FL 33496-2499

Mailing address

17940 Military TRL
Suite 400
Boca Raton, FL 33496-2499
Phone (561) 912-0800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1912190919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 MILITARY TRL",
            "address_2": "SUITE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962499",
            "telephone_number": "561-912-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 MILITARY TRL",
            "address_2": "SUITE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962499",
            "telephone_number": "561-912-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-912-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "FL3281",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "FL5348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

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