Individual provider Active NPI

David M Kirschmann, BO, ABO, NCLE

  • Optician
  • Tampa, FL
National Provider Identifier
1114253291
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO 5783 Issued in FL
Practice address
19651 Bruce B Downs Blvd
Ste. C7B
Tampa, FL 33647-2445
Phone
(813) 345-8539
Fax
(813) 345-8557
NPI assigned
Oct 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO 5783 FL Primary

Addresses

Primary practice location

19651 Bruce B Downs Blvd
Ste. C7B
Tampa, FL 33647-2445

Mailing address

19651 Bruce B Downs Blvd
Ste. C7B
Tampa, FL 33647-2445
Phone (813) 345-8539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO 5783FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1114253291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD",
            "address_2": "STE. C7B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472445",
            "telephone_number": "813-345-8539",
            "fax_number": "813-345-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD",
            "address_2": "STE. C7B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472445",
            "telephone_number": "813-345-8539",
            "fax_number": "813-345-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHMANN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "BO, ABO, NCLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 5783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.