Active NPI
Richard E Sorkin OD PA
- Optometrist
- St Petersburg, FL
National Provider Identifier
1275700080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RICHARD E SORKIN OD PA
- Practice address
- 5100 Central Ave
St Petersburg, FL 33707-1833 - Phone
- (727) 321-1101
- Fax
- (727) 327-5302
- NPI assigned
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard E Sorkin
- Title
- Owner
- Phone
- (727) 321-1101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
5100 Central Ave
St Petersburg, FL 33707-1833
Mailing address
5100 Central Ave
St Petersburg, FL 33707-1833
Phone (727) 321-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620392200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- St Petersburg, FL
- NPI 1902939010
-
- Optometrist
- Glen Allen, VA
- NPI 1962994335
-
- Optometrist
- Dunnellon, FL
- NPI 1720296510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1275700080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071833",
"telephone_number": "727-321-1101",
"fax_number": "727-327-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071833",
"telephone_number": "727-321-1101",
"fax_number": "727-327-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD E SORKIN OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "SORKIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-321-1101",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620392200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.