H. Kirk Fallin, O.D. & Associates, P.a.,

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3228 Issued in FL

Legal business name

H. KIRK FALLIN, O.D. & ASSOCIATES, P.A.,

Practice address

8201 S Tamiami TRL Unit 51
Suite 51
Sarasota, FL 34238-2950

Phone

(941) 923-4111

Fax

(941) 926-2981

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Kirk Fallin III, O.D.

Title

Ceo

Phone

(941) 923-4111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1245668201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 S TAMIAMI TRL UNIT 51",
            "address_2": "SUITE 51",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382950",
            "telephone_number": "941-923-4111",
            "fax_number": "941-926-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 S TAMIAMI TRL UNIT 51",
            "address_2": "SUITE 51",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382950",
            "telephone_number": "941-923-4111",
            "fax_number": "941-926-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. KIRK FALLIN, O.D. & ASSOCIATES, P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "FALLIN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-923-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sarasota, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.