Active NPI
Associated Optometrists of Overholser & Overholser OD PA
- Optometrist
- Summerfield, FL
National Provider Identifier
1063573574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ASSOCIATED OPTOMETRISTS OF OVERHOLSER & OVERHOLSER OD PA
- Practice address
- 17961 S Highway 441
Summerfield, FL 34491 - Phone
- (352) 307-4435
- Fax
- (352) 307-4437
- NPI assigned
- Dec 12, 2006
- Last updated
- Sep 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrie Jo Overholser, O.D.
- Title
- Owner/Doctor
- Phone
- (352) 875-1173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
17961 S Highway 441
Summerfield, FL 34491
Mailing address
21455 NW 39TH CT
Micanopy, FL 32667
Phone (352) 875-1173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45326 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5353 SW College Rd
Ocala, FL 34474
Phone (352) 237-9451
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Ocala, FL
- NPI 1639230121
-
- Optometrist
- Ocala, FL
- NPI 1588725089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1063573574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21455 NW 39TH CT",
"city": "MICANOPY",
"state": "FL",
"postal_code": "32667",
"telephone_number": "352-875-1173",
"fax_number": "352-237-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17961 S HIGHWAY 441",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "34491",
"telephone_number": "352-307-4435",
"fax_number": "352-307-4437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED OPTOMETRISTS OF OVERHOLSER & OVERHOLSER OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2023-09-29",
"status": "A",
"authorized_official_last_name": "OVERHOLSER",
"authorized_official_first_name": "TERRIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "352-875-1173",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "45326",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerfield, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.