Organization Active NPI

Alvin B Strully OD PA

  • Optometrist
  • Coral Springs, FL
National Provider Identifier
1265754436
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1194 Issued in FL
Legal business name
ALVIN B STRULLY OD PA
Practice address
8124 Wiles Rd
Coral Springs, FL 33067-2061
Phone
(954) 979-1118
Fax
(954) 757-2456
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Alvin B Strully, OD
Title
Optometrist Pres
Phone
(954) 979-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1194 FL Primary

Addresses

Primary practice location

8124 Wiles Rd
Coral Springs, FL 33067-2061

Mailing address

8124 Wiles Rd
Coral Springs, FL 33067-2061
Phone (954) 979-1118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1265754436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672061",
            "telephone_number": "954-979-1118",
            "fax_number": "954-757-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672061",
            "telephone_number": "954-979-1118",
            "fax_number": "954-757-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN B STRULLY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "STRULLY",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST PRES",
        "authorized_official_telephone_number": "954-979-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.