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JUSTIN OPTICAL ENTERPRISES INC NPI 1447422548


NPI Information

NPI: 1447422548
Provider Name: JUSTIN OPTICAL ENTERPRISES INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2068 N UNIVERSITY DR
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 432-5000
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JUSTIN OPTICAL ENTERPRISES INC is an eyewear supplier in Pembroke Pines, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JUSTIN OPTICAL ENTERPRISES INC NPI is 1447422548. The provider is registered as an organization entity type.

The provider's business location address is:

2068 N UNIVERSITY DR
PEMBROKE PINES, FL
ZIP 33024-608
Phone: (954) 432-5000
Fax: (954) 432-5001

The provider's authorized official is Justin M Weininger .
The authorized official title is President and has the following contact phone number (954) 432-5000.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 10/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierDO602FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10845740001MEDICARE NSCFLORIDA
2086659800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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