Active NPI
Suncoast Eye Center PA
- Durable Medical Equipment & Medical Supplies
- Hudson, FL
National Provider Identifier
1255434643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUNCOAST EYE CENTER PA
- Practice address
- 14003 Lakeshore Blvd
Hudson, FL 34667-7124 - Phone
- (727) 868-9442
- Fax
- (727) 862-6210
- NPI assigned
- Sep 7, 2006
- Organization subpart
- Yes
- Parent organization
- SUNCOAST EYE CENTER PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Freedman, MD
- Title
- President/Owner
- Phone
- (727) 868-9442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14003 Lakeshore Blvd
Hudson, FL 34667-7124
Mailing address
14003 Lakeshore Blvd
Hudson, FL 34667-7124
Phone (727) 868-9442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066452900 | Medicaid | FL |
Other names 1
- Suncoast Optical
National Provider Directory
National Provider Directory- Part of
- Suncoast Eye Center PA
Locations
14003 Lakeshore Blvd
Hudson, FL 34667
Phone (727) 868-9442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1255434643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14003 LAKESHORE BLVD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677124",
"telephone_number": "727-868-9442",
"fax_number": "727-862-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14003 LAKESHORE BLVD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677124",
"telephone_number": "727-868-9442",
"fax_number": "727-862-6210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST EYE CENTER PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNCOAST EYE CENTER PA",
"enumeration_date": "2006-09-07",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "727-868-9442",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066452900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Suncoast Optical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Suncoast Optical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.