Optimart, Inc.

LBN: Optimart, Inc.
Optimart, Inc. is an health care organization with primary practice located at 4359 35Th St N , St Petersburg FL 33714-3717. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Optimart, Inc. can be contacted via phone (727) 525-3959, or through Mathis, Gregory Louis via phone (727) 914-8615.

Contact Information

Primary practice address
4359 35Th St N St Petersburg FL 33714-3717
Phone: (727) 525-3959
Fax: (727) 914-8610
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Gregory Louis
Phone: (727) 914-8615

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1780110924
LBN Legal business name Optimart, Inc.
DBA Doing business as
Authorized official Mathis, Gregory Louis
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2017
Last updated May 9th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780110924 NPPES
Florida MEDICAID 630126600

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