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P.R.I.D.E BROWARD OPTICAL
NPI 1659531309
Eyewear Supplier in Ft Lauderdale, FL

Active since June 16, 2008
20421 SHERIDAN ST, FT LAUDERDALE, FL 33332(800) 523-1766(813) 890-2103 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About P.r.i.d.e Broward Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P.R.I.D.E BROWARD OPTICAL (NPI 1659531309) is a healthcare organization registered as an eyewear supplier in Ft Lauderdale, Florida and active in the NPI registry since June 2008. The organization lists Peter Radanovich, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1659531309
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePRISON REHABILITATIVE INDUSTRIES DIVERSIFIED ENTERPRISES, INC
Location Address20421 SHERIDAN STFt Lauderdale, FL 33332-2300
Mailing Address12425 28th St N, Suite 300St Petersburg, FL 33716-1844 · (727) 572-1987 · Fax (727) 570-3378
Phone(800) 523-1766
Fax(813) 890-2103
Organization SubpartNo
Authorized OfficialPeter RadanovichChief Financial Officer · (727) 556-3370
Enumeration DateJune 16, 2008
✔ NPI 1659531309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in OH · S. 2220
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
20421 SHERIDAN ST, Ft Lauderdale, FL 33332
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Other Names 1

Other NameP.r.i.d.e Broward Optical

Other Identifiers 1

Medicaid086571100FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prison Rehabilitative Industries Diversified Enterprises, Inc's NPI number?

The NPI number for Prison Rehabilitative Industries Diversified Enterprises, Inc is 1659531309. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is also known as P.R.I.D.E Broward Optical.

Where is Prison Rehabilitative Industries Diversified Enterprises, Inc located?

Prison Rehabilitative Industries Diversified Enterprises, Inc is located at 20421 Sheridan St, Ft Lauderdale, FL 33332. The listed phone number is (800) 523-1766.

What is Prison Rehabilitative Industries Diversified Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Prison Rehabilitative Industries Diversified Enterprises, Inc was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.