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OPTIMART INC. NPI 1740497676


NPI Information

NPI: 1740497676
Provider Name: OPTIMART, INC.

Doing Business As: OPTIMART, INC. #09

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
13161 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 597-0410
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OPTIMART, INC. is an optician technician technologist in Brooksville, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. OPTIMART, INC. NPI is 1740497676. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optimart, Inc. #09.

The provider's business location address is:

13161 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-804
Phone: (352) 597-0410
Fax: (352) 515-0750

The provider's authorized official is Gregory Louis Mathis .
The authorized official title is Administrator and has the following contact phone number (727) 914-8615.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 6/19/2020.


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
1156FX1800XTechnician/TechnologistOpticianOE370FLORIDAYes

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
1630126600MEDICAIDFLORIDA

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: 4/28/2024

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