JUSTIN OPTICAL ENTERPRISES INC (NPI# 1447422548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447422548 |
| Entity Type | Organization |
| Organization Name | JUSTIN OPTICAL ENTERPRISES INC |
| Practice Address |
2068 N University Dr Pembroke Pines FL 33024-3608 |
| Practice Telephone | 9544325000 |
| Practice Fax Number | 9544325001 |
| Mailing Telephone | 9544325000 |
| Mailing Fax Number | 9544325001 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | JUSTIN M WEININGER (PRESIDENT) |
| Authorized Official Telephone | 9544325000 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | DO602 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 086659800 | 05 |
| Street Address |
2068 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747790 | Justin M Weininger | Technician/Technologist | 2068 N University Dr, Pembroke Pines, FL 33024-3608 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1902268337 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 323 Sw 145th Ter Spc 3050, Pembroke Pines, FL 33027-1444 | 2016-03-24 |
| 1942472766 | Dr William Porter Od Pa Dba Pearle Vision | Eyewear Supplier (Equipment, not the service) | 11005 Pines Blvd, Pembroke Pines, FL 33026 | 2008-04-01 |
| 1164621546 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11605 Pines Blvd, Pembroke Lakes Mall, Pembroke Pines, FL 33026-4109 | 2007-07-16 |
| 1194920157 | Cohen's Fashion Optical | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd Ste 352, Pembroke Pines, FL 33026-4105 | 2007-06-19 |
| 1538206529 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11401 Pines Blvd, Pembroke Lakes Mall Ste #888, Pembroke Pines, FL 33026-4117 | 2007-01-31 |
| 1285789925 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 13700 Pines Blvd, Pembroke Pines, FL 33027-1510 | 2007-01-24 |
| 1053464263 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 12890 Pines Blvd, Pembroke Pines, FL 33027-1708 | 2007-01-19 |
| 1407912637 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12055 Pines Blvd, Pembroke Lakes Mall, Pembroke Pines, FL 33026-4112 | 2006-12-30 |
| 1306915905 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9910 Pines Blvd, Pembroke Pines, FL 33024-6139 | 2006-11-07 |
| 1376624551 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 12208 Pines Boulevard, Pembroke Pines, FL 33026 | 2006-10-17 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on JUSTIN OPTICAL ENTERPRISES INC.
| 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.