Ec Boutique Florida Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EC BOUTIQUE FLORIDA CORP

Practice address

12801 W Sunrise Blvd Ste 259
Sunrise, FL 33323-4002

Phone

(787) 998-4514

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lizzette Irizarry, DONPI 1851540611

Title

Treasure

Phone

(954) 544-8878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lizzette Maria Irizarry, O.D.

  • Optometrist
  • Manati, PR
  • NPI 1851540611
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1982394615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURHILL",
            "address_2": "PMB 674",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "954-600-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W SUNRISE BLVD STE 259",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333234002",
            "telephone_number": "787-998-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC BOUTIQUE FLORIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "LIZZETTE",
        "authorized_official_title_or_position": "TREASURE",
        "authorized_official_telephone_number": "954-544-8878",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.