Active NPI
Joel K Shugar MD PA
- Optician
- Perry, FL
National Provider Identifier
1003970070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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.
-
- Optometrist
- Perry, FL
- NPI 1699887372
National Provider Directory
National Provider Directory- Tax ID family
- Joel K Shugar MD PA
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.