Optical Outfitters, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4515 Issued in FL

Legal business name

OPTICAL OUTFITTERS, LLC

Practice address

242 Harbor Village LN
Apollo Beach, FL 33572-3424

Phone

(813) 645-2022

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Catherine Yaeckel, O.D

Title

Optometrist

Phone

(813) 645-2022

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Esther Kovacs Craig, O.D.

  • Optometrist
  • Apollo Beach, FL
  • NPI 1639349830
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1922497916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HARBOR VILLAGE LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 HARBOR VILLAGE LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723424",
            "telephone_number": "813-645-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL OUTFITTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "YAECKEL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-645-2022",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002695100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "DP715Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuy Quynh Thi Nguyen, PHARMD
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• Orthopros PLLC
• Morsal Osmani, DO

• Optometrist in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.