NPIMap

Organization Active NPI

Osceola Optique

  • Eyewear Supplier
  • Jensen Beach, FL
National Provider Identifier
1992839443
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC2950 Issued in FL
Legal business name
OSCEOLA OPTIQUE
Practice address
3201 NE Skyline Dr
Suite D
Jensen Beach, FL 34957-3912
Phone
(772) 334-4264
Fax
(772) 334-4265
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Jewell Renee Chang, ODNPI 1407830730
Title
President
Phone
(772) 334-4264

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 OPC2950 FL Primary

Addresses

Primary practice location

3201 NE Skyline Dr
Suite D
Jensen Beach, FL 34957-3912

Mailing address

3201 NE Skyline Dr
Suite D
Jensen Beach, FL 34957-3912
Phone (772) 334-4264

Other identifiers 1

IdentifierTypeStateIssuer
20621OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1992839443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 NE SKYLINE DR",
            "address_2": "SUITE D",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573912",
            "telephone_number": "772-334-4264",
            "fax_number": "772-334-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 NE SKYLINE DR",
            "address_2": "SUITE D",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573912",
            "telephone_number": "772-334-4264",
            "fax_number": "772-334-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JEWELL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-334-4264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC2950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.