Optometric Physician'S Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2269 Issued in FL

Legal business name

OPTOMETRIC PHYSICIAN'S GROUP

Practice address

6152 Delancey Station St
Ste. 101
Riverview, FL 33569-4206

Phone

(813) 643-7300

Fax

(813) 643-2276

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra J. Dahlberg, O.D.

Title

Optometrist

Phone

(813) 643-7300

Specialties & licenses 1

Addresses

Other names 1

• Optics Soho Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073665766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6152 DELANCEY STATION ST",
            "address_2": "STE. 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694206",
            "telephone_number": "813-643-7300",
            "fax_number": "813-643-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6152 DELANCEY STATION ST",
            "address_2": "STE. 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694206",
            "telephone_number": "813-643-7300",
            "fax_number": "813-643-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIAN'S GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHLBERG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-643-7300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optics Soho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yanet Ones Padron
• Open Hearts Family Care, LLC
• Optimal Performance and Physical Therapies-Riverview, LLC
• Optional Solutions LLC
• Optix Eye Care LLC
• Daniella Mae Ordonez
• Margaret Ordonez, DDS
• Aivlis Orellana Tejeda
• Orion Care Services, LLC
• Orlando Family Physicians, LLC

• Optometrist in Riverview, FL
• Providers in Riverview, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.