Organization Active NPI

Dr F Donald Colley Optometrist P a

  • Eyewear Supplier
  • Pensacola, FL
National Provider Identifier
1306004171
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC811 Issued in FL
Legal business name
DR F DONALD COLLEY OPTOMETRIST P A
Practice address
2105 Town St
Pensacola, FL 32505-5117
Phone
(850) 433-0327
Fax
(850) 432-2159
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. F Donald Colley, O.D.
Title
Optometrist/President
Phone
(850) 433-0327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC811 FL Primary

Addresses

Primary practice location

2105 Town St
Pensacola, FL 32505-5117

Mailing address

2105 Town St
Pensacola, FL 32505-5117
Phone (850) 433-0327

Other identifiers 1

IdentifierTypeStateIssuer
084263000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2105 Town St
Pensacola, FL 32505
Phone (850) 433-0327

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1306004171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 TOWN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325055117",
            "telephone_number": "850-433-0327",
            "fax_number": "850-432-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 TOWN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325055117",
            "telephone_number": "850-433-0327",
            "fax_number": "850-432-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR F DONALD COLLEY OPTOMETRIST P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "COLLEY",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "850-433-0327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084263000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.