NPIMap

Organization Active NPI

Optical City

  • Eyewear Supplier
  • Sunrise, FL
National Provider Identifier
1932503695
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE2143 Issued in FL
Legal business name
OPTICAL CITY
Practice address
10057B Sunset Strip
Sunrise, FL 33322-5301
Phone
(954) 749-5881
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Mr. Clive LattibeaudiereNPI 1639574452
Title
Optician/Owner
Phone
(954) 749-5881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE2143 FL Primary

Addresses

Primary practice location

10057B Sunset Strip
Sunrise, FL 33322-5301

Mailing address

10057B Sunset Strip
Sunrise, FL 33322-5301

National Provider Directory

National Provider Directory

Locations

10057 Sunset Strip
Ste B
Sunrise, FL 33322
Phone (954) 749-5881

Practitioners & affiliated clinicians

Practitioners 2

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": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1932503695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10057B SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333225301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10057B SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333225301",
            "telephone_number": "954-749-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "LATTIBEAUDIERE",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "954-749-5881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.