OPTIMART, INC. (NPI# 1124235049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124235049 |
| Entity Type | Organization |
| Organization Name | OPTIMART, INC. |
| Other Organization Name | OPTIMART, INC. #08 |
| Practice Address |
10041a Us Highway 19 Port Richey FL 34668-3742 |
| Mailing Address |
4399 35th St N St Petersburg FL 33714-3717 |
| Practice Telephone | 7278680780 |
| Practice Fax Number | 7278680819 |
| Mailing Telephone | 7278123020 |
| Mailing Fax Number | 7275254835 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY LOUIS MATHIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7278123020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
OE391 | FL | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| OPTIMART, INC. #08 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1487861449 | Optimart, Inc. | Technician/Technologist | 2325 Bee Ridge Rd, Sarasota, FL 34239-6204 | 2007-05-17 |
| 1801003678 | Optimart, Inc. | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2007-05-17 |
| 1609083484 | Optimart, Inc. | Technician/Technologist | 7440 Gall Boulevard, Zephyrhills, FL 33541-4308 | 2007-05-17 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1861600488 | Optimart, Inc. | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
| 1740497676 | Optimart, Inc. | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-17 |
| 1174730352 | Optimart, Inc. | Technician/Technologist | 35170 Us Highway 19 N, Palm Harbor, FL 34684-1929 | 2007-05-17 |
| 1922215136 | Optimart, Inc. | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-05-17 |
| 1811104672 | Optimart, Inc. | Technician/Technologist | 1661 Se Us Highway 19, Crystal River, FL 34429-4830 | 2007-05-17 |
| Street Address |
10041A US HIGHWAY 19 |
| City | PORT RICHEY |
| State | FL |
| Zip Code | 34668-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238928 | Diane Lee Violette | Technician/Technologist | 10041a Us Highway 19, Port Richey, FL 34668-3742 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287296 | Manuel Dejesus Correa | Counselor | 9550 Us19 Ste. 202, Port Richey, FL 34668 | 2018-09-04 |
| 1679069256 | Linda Elaine Harper Gorski | Counselor | 6745 Vinanta Ct, Port Richey, FL 34668 | 2018-07-06 |
| 1477063378 | Michelle Jean Ebbert | Hearing Instrument Specialist | 9304 U.S. Hwy N., Port Richey, FL 34668 | 2017-10-05 |
| 1013426618 | Arlene Taylor | Social Worker | 9550 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1285143925 | Pa Group Inc | Pharmacy | 11618 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1467971978 | Marie Waite | Social Worker | Marie Waite, 7403 Bougenville Drive, Port Richey, FL 34668 | 2017-09-15 |
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1336405109 | Staywell Pharmacy Inc. | Pharmacy | 10112 Us Hwy 19, Port Richey, FL 34668 | 2012-04-06 |
| 1821247925 | Milton Rivera | Licensed Practical Nurse | 7701 Arbordale Dr., Port Richey, FL 34668 | 2008-09-12 |
| 1518131424 | Syrnix, Inc | Durable Medical Equipment & Medical Supplies | 7200 San Miguel Dr, Port Richey, FL 34668 | 2008-04-22 |
| Find all providers in zip 34668 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295212959 | David Kevin Smith | Technician/Technologist | 10041 Us Highway 19, Port Richey, FL 34668-3785 | 2018-07-25 |
| 1104167394 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9624 Us Highway 19, Port Richey, FL 34668-4642 | 2013-03-13 |
| 1164727434 | James Pagano | Technician/Technologist | 10041 Us Highway 19 Ste A, Port Richey, FL 34668-3785 | 2011-01-18 |
| 1437258837 | Wal-mart Stores East, Lp | Technician/Technologist | 8701 Us Highway 19, Port Richey, FL 34668-5349 | 2006-09-22 |
| 1629238928 | Diane Lee Violette | Technician/Technologist | 10041a Us Highway 19, Port Richey, FL 34668-3742 | 2008-06-11 |
| 1912115437 | Marsha Stein | Technician/Technologist | 10041 Us Highway 19 # A, Port Richey, FL 34668-3742 | 2007-05-18 |
| 1306850300 | Us Vision Optical Inc | Technician/Technologist | 9409 Us Highway 19, Port Richey, FL 34668-4625 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT RICHEY |
| Zip Code | 34668 |
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| 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.