OPTICAL LABORATORY, LLC (NPI# 1568602258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568602258 |
| Entity Type | Organization |
| Organization Name | OPTICAL LABORATORY, LLC |
| Practice Address |
618 Sw 4th Ave Gainesville FL 32601-6429 |
| Practice Telephone | 3523765563 |
| Practice Fax Number | 3523768783 |
| Mailing Telephone | 3523765563 |
| Mailing Fax Number | 3523768783 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | MS. MARJORIE O. HAZOURI (MANAGER) |
| Authorized Official Telephone | 3523312727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 29463 | FL | Suppliers |
| Street Address |
618 SW 4TH AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639627474 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14046 Promenade Commons St, D-3, Gainesville, VA 20155-4072 | 2016-09-21 |
| 1518351121 | Mark Lynn Od & Associates, PC | Eyewear Supplier (Equipment, not the service) | 671 Dawsonville Highway, Gainesville, GA 30501-2611 | 2015-03-20 |
| 1659647329 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5100 Wellington Rd, Gainesville, VA 20155-4069 | 2012-03-28 |
| 1760636187 | Alligator Island Optical | Eyewear Supplier (Equipment, not the service) | 2725 Sw 91st St, Suite 160, Gainesville, FL 32608-2781 | 2008-11-12 |
| 1184825853 | Gainesville Opticians II, LLC | Eyewear Supplier (Equipment, not the service) | 2015 Nw 43rd St, Gainesville, FL 32605-3481 | 2007-05-30 |
| 1225153455 | Four H Optical | Eyewear Supplier (Equipment, not the service) | 4605 Nw 6th St, Suite 2c, Gainesville, FL 32609-4197 | 2007-03-20 |
| 1891840443 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 150 Pearl Nix Pkwy # D3a, Gainesville, GA 30501 | 2007-01-24 |
| 1528124963 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6201 Newberry Rd, Oak Mall, Gainesville, FL 32605-4305 | 2006-12-29 |
| 1649334731 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6405 Newberry Rd, Oaks Mall, Gainesville, FL 32605-4338 | 2006-12-21 |
| 1396819728 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 150 Pearl Nix Pkwy, Lakeshore Mall, Gainesville, GA 30501-3548 | 2006-11-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
Please comment or provide details below to improve the information on OPTICAL LABORATORY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.