NPIMap

Organization Active NPI

Paul Southby, OD, PA

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1104207141
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PAUL SOUTHBY, OD, PA
Practice address
9644 Scenic Dr
Port Richey, FL 34668-4653
Phone
(727) 845-0082
Fax
(727) 344-7952
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Paul Southby, O.D.
Title
Owner
Phone
(727) 845-0082

Specialties & licenses 1

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

Addresses

Primary practice location

9644 Scenic Dr
Port Richey, FL 34668-4653

Mailing address

9644 Scenic Dr
Port Richey, FL 34668-4653
Phone (727) 845-0082

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1104207141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9644 SCENIC DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684653",
            "telephone_number": "727-845-0082",
            "fax_number": "727-344-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 SCENIC DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684653",
            "telephone_number": "727-845-0082",
            "fax_number": "727-344-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SOUTHBY, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "SOUTHBY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-845-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.