Tjsupper Enterprises, Inc. Dba the Optical Shoppe

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TJSUPPER ENTERPRISES, INC. DBA THE OPTICAL SHOPPE

Practice address

180 Race Track Rd N Unit 32
Oldsmar, FL 34677-3211

Phone

(727) 804-3412

Fax

(813) 855-3636

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Tim J. Supper, DO

Title

Owner/ Optician

Phone

(727) 804-3412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1154776672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 31ST TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102402",
            "telephone_number": "727-804-3412",
            "fax_number": "727-345-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RACE TRACK RD N UNIT 32",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773211",
            "telephone_number": "727-804-3412",
            "fax_number": "813-855-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJSUPPER ENTERPRISES, INC. DBA THE OPTICAL SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "SUPPER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ OPTICIAN",
        "authorized_official_telephone_number": "727-804-3412",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Thomas, MD
• Carol Ann Thomas, APRN
• Nicholas Thomas, O.D.
• Stephanie Frances Kane Thomas
• Cecelia Tilson
• TLC Adult Day Care and Recreation Center Inc.
• Top Notch Physical Therapy and Personal Training LLC
• Total Care & Wellness Services Inc
• Total Home Health Services, Corp
• Touch Rehabilitation Center, LLC

• Eyewear Supplier in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.