Optimart, Inc.

Optician · Ruskin, FL

Organization Active NPI

NPI number 1861600488

Practice location

3830 Sun City Center Blvd Ste 105
Ruskin, FL 33573-6820
Phone
(813) 634-6155
Fax
(813) 634-6236

Open in Google Maps

NPI record

NPI
1861600488
Entity type
Organization (Type 2)
Enumeration date
May 18, 2007
Last updated
July 1, 2020
Certified
July 1, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X OE368 FL

Mailing address

4359 35TH St N
St Petersburg, FL 33714-3717
Phone
(727) 914-8615
Fax
(727) 914-8610

Authorized official

Name
Gregory Louis Mathis
Title
Administrator
Phone
(727) 914-8615

Other names

  • Optimart, Inc. #01
  • Optimart, Inc. #01

About Optimart, Inc.

Optimart, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820. The NPI number 1861600488 was assigned on May 18, 2007 and the record was last updated on July 1, 2020.

Optimart, Inc. lists a license in the registry: #OE368 (FL) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Gregory Louis Mathis, Administrator.

Frequently asked questions

What is the NPI number of Optimart, Inc.?

The NPI number is 1861600488.

What is the phone number of Optimart, Inc.?

The phone number listed for the practice location is (813) 634-6155.

Where is Optimart, Inc. located?

3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820.

What is the taxonomy code for Optimart, Inc.?

The primary taxonomy code is 156FX1800X – Optician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optician providers in Ruskin

All Optician providers in Ruskin, FL →