Active NPI
Sherri Alaine Cole, L.D.O.
- Optician
- Lake City, FL
National Provider Identifier
1235359258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4171
- Practice address
- 621 SW Baya Dr
Suite 101
Lake City, FL 32025-4240 - Phone
- (386) 719-9292
- Fax
- (386) 754-6615
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4171 | FL | Primary |
Addresses
Primary practice location
621 SW Baya Dr
Suite 101
Lake City, FL 32025-4240
Mailing address
241 SE Oak St
Lake City, FL 32025-6841
Phone (386) 623-0514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630349800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4171 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235359258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 SE OAK ST",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320256841",
"telephone_number": "386-623-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SW BAYA DR",
"address_2": "SUITE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254240",
"telephone_number": "386-719-9292",
"fax_number": "386-754-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "SHERRI",
"middle_name": "ALAINE",
"name_prefix": "Mrs.",
"credential": "L.D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630349800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.