OPTIMART INC. NPI 1780110924

NPI Information

  • NPI: 1780110924
  • Provider Name: OPTIMART, INC.
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 4359 35TH ST N
    ST PETERSBURG, FL
    ZIP 33714
  • Phone: (727) 525-3959

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NPI Details

OPTIMART, INC. is an optician technician technologist in St Petersburg, 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 1780110924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4359 35TH ST N
ST PETERSBURG, FL
ZIP 33714-717
Phone: (727) 525-3959
Fax: (727) 914-8610

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 5/9/2017 and was last updated on 5/9/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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