Organization Active NPI

Charles Nunez OD & Associates PA

  • Optometrist
  • Ruskin, FL
National Provider Identifier
1174040083
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHARLES NUNEZ OD & ASSOCIATES PA
Practice address
25 W College Ave Ste D
Ruskin, FL 33570-4701
Phone
(813) 886-2020
Fax
(855) 824-1872
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Charles Nunez, OD
Title
Optometrist/Owner
Phone
(813) 886-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

25 W College Ave Ste D
Ruskin, FL 33570-4701

Mailing address

25 W College Ave Ste D
Ruskin, FL 33570-4701
Phone (813) 886-2020

Other identifiers 1

IdentifierTypeStateIssuer
010539500MedicaidFL

National Provider Directory

National Provider Directory

Locations

25 W College Ave
Ste D
Ruskin, FL 33570
Phone (813) 886-2020

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1174040083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "18138862020",
            "fax_number": "855-824-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "813-886-2020",
            "fax_number": "855-824-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES NUNEZ OD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "813-886-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010539500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.