Organization Active NPI

Robert Lee Spurling

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1053554592
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1058 Issued in FL
Legal business name
ROBERT LEE SPURLING
Practice address
9119 Merrill Rd
Ste 13
Jacksonville, FL 32225-4307
Phone
(904) 743-6410
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Robert Lee Spurling, OD
Title
Owner
Phone
(904) 743-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1058 FL Primary

Addresses

Primary practice location

9119 Merrill Rd
Ste 13
Jacksonville, FL 32225-4307

Mailing address

9119 Merrill Rd
Ste 13
Jacksonville, FL 32225-4307
Phone (904) 743-6410

Other names 1

  • Vision 20/20 Doing business as

National Provider Directory

National Provider Directory

Locations

9119 Merrill Rd
Ste 13
Jacksonville, FL 32225
Phone (904) 743-6410

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1053554592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 MERRILL RD",
            "address_2": "STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254307",
            "telephone_number": "904-743-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 MERRILL RD",
            "address_2": "STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254307",
            "telephone_number": "904-743-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE SPURLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "SPURLING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-743-6410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision 20/20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 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.