Shepard a. Adler, O.D.P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SHEPARD A. ADLER, O.D.P.A.

Practice address

1115 62ND Ave N Ste a
St Petersburg, FL 33702-7400

Phone

(727) 528-8146

Fax

(727) 525-3275

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shepard Arnold Adler O.D. P.a., OD

Title

President

Phone

(727) 528-8146

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1023245040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 62ND AVE N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337027400",
            "telephone_number": "727-528-8146",
            "fax_number": "727-525-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 62ND AVE N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337027400",
            "telephone_number": "727-528-8146",
            "fax_number": "727-525-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD A. ADLER, O.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "ADLER O.D. P.A.",
        "authorized_official_first_name": "SHEPARD",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-528-8146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620212800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410033787",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Shefsky, M.D.
• Adina A. Sheldon, PA
• Beth-Ann Kershaw Shell, MA, CCC-SLP
• Shella Scully-Hilbert LCSW LLC
• Zihan Shen
• Tricia Ann Shepherd, PHARMD
• William Virgil Lee Shepherd III
• Catherine Allison Sheppard, LMHC, CAP
• Robert Charles Sheppard, M.D.
• Tamika Sheppard M.S. Sheppard

• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.