Druey Vision Retail Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRUEY VISION RETAIL GROUP LLC

Practice address

333 S State Road 7 Unit a
Hollywood, FL 33023-6760

Phone

(561) 275-2020

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Specialist

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Other names 1

• My Eye Lab Doing business as

Locations

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1962906701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 NE 23RD ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S STATE ROAD 7 UNIT A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236760",
            "telephone_number": "561-275-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUEY VISION RETAIL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DRS. Willens & Greenberg, PA
• David Em Drucker, MD
• Debra M Drucker, M.D.
• Scott David Drucker, D.M.D.
• Druey Vision Group, LLC
• Drug and Alcohol Recovery Center, Inc.
• Darlene O Duardo
• Roy Minoo Dubash, M.D.
• Mark Lawrence Dubin, LCSW
• Tatyana Dubrovsky, MD

• Optometrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.