Organization Active NPI

Joel K Shugar MD PA

  • Optician
  • Perry, FL
National Provider Identifier
1003970070
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
JOEL K SHUGAR MD PA
Practice address
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone
(850) 584-2778
Fax
(850) 584-2790
NPI assigned
Dec 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Charles Scott Keeler
Title
Managing Employee/Ceo
Phone
(850) 584-2778

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Joel K Shugar MD PA (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

NPPES NPI Registry

Primary practice location

555 N Byron Butler Pkwy
Perry, FL 32347-2315

Mailing address

555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone (850) 584-2778

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2008.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1003970070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL K SHUGAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE/CEO",
        "authorized_official_telephone_number": "850-584-2778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.