NPIMap

Organization Active NPI

Petersen & Petrescu Assoc.LLC

  • Optician
  • Hollywood, FL
National Provider Identifier
1962885756
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PETERSEN & PETRESCU ASSOC.LLC
Practice address
3800 S Ocean Dr
G-9
Hollywood, FL 33019-2927
Phone
(954) 456-3808
Fax
(954) 454-1012
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Viorica Andronache Petrescu Petersen, LDONPI 1740662014
Title
Om
Phone
(954) 647-4689

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
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3800 S Ocean Dr
G-9
Hollywood, FL 33019-2927

Mailing address

3800 S Ocean Dr
G-9
Hollywood, FL 33019
Phone (954) 456-3808

Other names 1

  • LUX OPTICA BY VIO Doing business as

National Provider Directory

National Provider Directory

Locations

3800 S Ocean Dr
Ste G9
Hollywood, FL 33019
Phone (954) 456-3808

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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1962885756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "G-9",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33019",
            "telephone_number": "954-456-3808",
            "fax_number": "954-454-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "G-9",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "954-456-3808",
            "fax_number": "954-454-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSEN & PETRESCU ASSOC.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "PETRESCU PETERSEN",
        "authorized_official_first_name": "VIORICA",
        "authorized_official_middle_name": "ANDRONACHE",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "954-647-4689",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUX OPTICA BY VIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.