Active NPI
Sheila D Merritt, O.D.
- Optometrist
- Jacksonville, FL
National Provider Identifier
1003983123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2632
- Practice address
- 9760 San Jose Blvd
Jacksonville, FL 32257-5474 - Phone
- (904) 268-2299
- NPI assigned
- Nov 30, 2006
- Last updated
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2632 | FL | Primary |
Addresses
Primary practice location
9760 San Jose Blvd
Jacksonville, FL 32257-5474
Mailing address
1069 Meadow View LN
St Augustine, FL 32092-1055
Phone (904) 268-2299
Other names 1
- Sheila D. Merritt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2632 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1003983123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1069 MEADOW VIEW LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921055",
"telephone_number": "904-268-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9760 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575474",
"telephone_number": "904-268-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "SHEILA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "MERRITT",
"middle_name": "D.",
"credential": "O.D.,P.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.