Titusville Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO3755 Issued in FL

Legal business name

TITUSVILLE OPTICAL INC.

Practice address

1917 Knox McRae Dr
Titusville, FL 32780

Phone

(321) 383-1267

Fax

(321) 567-0999

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Allen Bressette, LDO

Title

President Optician

Phone

(321) 383-1267

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952494700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-383-1267",
            "fax_number": "321-567-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 KNOX MCRAE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "telephone_number": "321-383-1267",
            "fax_number": "321-567-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUSVILLE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRESSETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT OPTICIAN",
        "authorized_official_telephone_number": "321-383-1267",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO3755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D7802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Titusville Surgical Associates MD PA
• Titusville Total Healthcare LLC
• Todd R Denson, DMD

• Eyewear Supplier in Titusville, FL
• Providers in Titusville, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.