Eyes of Palm Harbor

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO2953 Issued in FL

Legal business name

EYES OF PALM HARBOR

Practice address

36163 E Lake Rd
Palm Harbor, FL 34685-3142

Phone

(727) 787-2645

Fax

(727) 787-2680

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Hammer, DISPENSING OPTICIAN

Title

President

Phone

(727) 787-2645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1053596619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36163 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853142",
            "telephone_number": "727-787-2645",
            "fax_number": "727-787-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36163 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853142",
            "telephone_number": "727-787-2645",
            "fax_number": "727-787-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF PALM HARBOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17277872645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO2953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.