Prevmed Optometry Group, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PREVMED OPTOMETRY GROUP, PA

Practice address

2011 Flagler Ave
Key West, FL 33040-3732

Phone

(317) 522-2054

Fax

(855) 671-4102

NPI assigned

Jun 27, 2016

Last updated

Aug 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia Jackson

Title

VP of Finanace

Phone

(317) 522-2054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1265883797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 120",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-522-2054",
            "fax_number": "855-671-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 FLAGLER AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403732",
            "telephone_number": "317-522-2054",
            "fax_number": "855-671-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVMED OPTOMETRY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "VP OF FINANACE",
        "authorized_official_telephone_number": "317-522-2054"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Key West, FL
• Providers in Key West, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.