Active NPI
Michael S Nason OD PA
- Optometrist
- Middleburg, FL
National Provider Identifier
1083887400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC002692
- Legal business name
- MICHAEL S NASON OD PA
- Practice address
- 4415 Sidewinder TRL
Middleburg, FL 32068-3250 - Phone
- (561) 951-7285
- NPI assigned
- Apr 7, 2008
- 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. Michael S. Nason, O.D.
- Title
- President
- Phone
- (561) 951-7285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC002692 | FL | Primary |
Addresses
Primary practice location
4415 Sidewinder TRL
Middleburg, FL 32068-3250
Mailing address
4415 Sidewinder TRL
Middleburg, FL 32068-3250
Phone (561) 951-7285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620019200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1900 Okeechobee Blvd
Ste C10
West Palm Beach, FL 33409
Phone (561) 471-0888
1937 N Military Trl
Ste A
West Palm Beach, FL 33409
Phone (561) 471-0888
1937 N Military Trl
Ste E
West Palm Beach, FL 33409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1083887400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 SIDEWINDER TRL",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320683250",
"telephone_number": "561-951-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 SIDEWINDER TRL",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320683250",
"telephone_number": "561-951-7285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S NASON OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-07",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "NASON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-951-7285",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC002692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620019200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.