Active NPI
Stephen Hart Abrams, O.D.
- Optometrist
- Lakeland, FL
National Provider Identifier
1306972765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1256
- Practice address
- 3408 S Florida Ave
Lakeland, FL 33803-4765 - Phone
- (813) 445-2229
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001759B | IN | |
| Optometrist | 152W00000X | OPC1256 | FL | Primary |
Addresses
Primary practice location
3408 S Florida Ave
Lakeland, FL 33803-4765
Mailing address
11794 Stone Pine St
Riverview, FL 33569-5574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC1256 | FL | MD | Optometrist |
| 18001759B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1306972765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11794 STONE PINE ST",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034765",
"telephone_number": "813-445-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "STEPHEN",
"middle_name": "HART",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001759B",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.