Active NPI
Dr F Donald Colley Optometrist P a
- Eyewear Supplier
- Pensacola, FL
National Provider Identifier
1306004171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OPC811
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084263000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.