1. Home
  2. Directory
  3. Florida
  4. Palatka
  5. Eyewear Supplier
  6. NPI Profile

OPTICAL SHOP OF PALATKA INC
NPI 1669650255
Eyewear Supplier in Palatka, FL

Active since February 05, 2008
3710 SAINT JOHNS AVE, PALATKA, FL 32177(386) 328-2020(386) 328-6428 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optical Shop Of Palatka Inc NPPES

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

OPTICAL SHOP OF PALATKA INC (NPI 1669650255) is a healthcare organization registered as an eyewear supplier in Palatka, Florida and active in the NPI registry since February 2008. The organization lists Lawrence Alan Carroll, Owner, as its authorized official.

NPPES Registry Identity

NPI1669650255
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameOPTICAL SHOP OF PALATKA INC
Location Address3710 SAINT JOHNS AVEPalatka, FL 32177-4026
Mailing Address3710 Saint Johns AvePalatka, FL 32177-4026 · (386) 328-2020 · Fax (386) 328-6428
Phone(386) 328-2020
Fax(386) 328-6428
Organization SubpartNo
Authorized OfficialLawrence Alan CarrollOwner · (386) 328-2020
Enumeration DateFebruary 5, 2008
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1669650255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in FL · DO889
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3710 SAINT JOHNS AVE, Palatka, FL 32177
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0865600001FL

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Optical Shop Of Palatka, Inc carries, from the Medicare DMEPOS supplier directory.

Optical Shop Of Palatka, Inc

DMEPOS supplier · Palatka, FL
⋮

Does not accept Medicare assignment

Optical Shop Of Palatka, Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20570381
Medicare Participant SinceJanuary 1, 2007
Supplier Location3710 Saint Johns AvePalatka, FL 32177
Phone(386) 328-2020
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY KIPP O.D.
Optometrist
3710 SAINT JOHNS AVE
PALATKA, FL 32177
Putnam County (386) 328-1562
LAWRENCE ALAN CARROLL OPTICIAN
Technician/Technologist (Optician)
3710 SAINT JOHNS AVE
PALATKA, FL 32177
Putnam County (386) 328-2020

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 Optical Shop Of Palatka Inc's NPI number?

The NPI number for Optical Shop Of Palatka Inc is 1669650255. It was assigned to this organization in the NPPES registry on February 5, 2008.

Where is Optical Shop Of Palatka Inc located?

Optical Shop Of Palatka Inc is located at 3710 Saint Johns Ave, Palatka, FL 32177. The listed phone number is (386) 328-2020.

What is Optical Shop Of Palatka Inc's specialty?

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

Does Optical Shop Of Palatka Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Optical Shop Of Palatka, Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Optical Shop Of Palatka Inc was last updated on February 6, 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.