NPIMap

Organization Active NPI

James K. Berry OD, PA

  • Optometrist
  • Leesburg, FL
National Provider Identifier
1235245259
Registry record updated Dec 11, 2007
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1901 Issued in FL
Legal business name
JAMES K. BERRY OD, PA
Practice address
1320 Shelfer St
Leesburg, FL 34748-3929
Phone
(352) 787-9799
Fax
(352) 728-0057
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. James Kevin Berry, O.D.
Title
Optometrist
Phone
(352) 787-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1901 FL Primary

Addresses

Primary practice location

1320 Shelfer St
Leesburg, FL 34748-3929

Mailing address

1320 Shelfer St
Leesburg, FL 34748-3929
Phone (352) 787-9799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1235245259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-787-9799",
            "fax_number": "352-728-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-787-9799",
            "fax_number": "352-728-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. BERRY OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "352-787-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.