Park Avenue Ophthalmics, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PARK AVENUE OPHTHALMICS, PLLC

Practice address

2500 W 23Rd St
Panama City, FL 32405-2349

Phone

(850) 784-3936

Fax

(850) 784-3539

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Benjamin R Hasty, M.D.

Title

President

Phone

(850) 784-3936

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Advanced Eye Cre of Bay Cn Other name

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1164460069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052349",
            "telephone_number": "850-784-3936",
            "fax_number": "850-784-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052349",
            "telephone_number": "850-784-3936",
            "fax_number": "850-784-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE OPHTHALMICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-784-3936",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "38903",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259391200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RETIRED RAILROAD",
            "identifier": "CM3172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Cre of Bay Cn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James C Pappas, M.D.
• Jolene O. Paramore, DMD
• Emileigh Christine Parda
• Heeren Parekh, OD
• George J Parell, M.D.
• Park Avenue Ophthalmics, PLLC
• Lena D. Park, LMT
• Krista B Parker, DMD
• Lauren Kyleigh Parker, PHARMD
• Emily Parks

• Ophthalmology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.