Active NPI
Charles Nunez OD & Associates PA
- Optometrist
- Ruskin, FL
National Provider Identifier
1174040083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010539500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.