Phillips, Salomon & Parrish, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1963 Issued in FL

Legal business name

PHILLIPS, SALOMON & PARRISH, PA

Practice address

1214 N Broadway Ave
Bartow, FL 33830-3343

Phone

(863) 584-2020

Fax

(863) 299-1061

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brad R Salomon, OD

Title

Registered Agent

Phone

(863) 299-8908

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1316036791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814537",
            "telephone_number": "863-299-8908",
            "fax_number": "863-299-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303343",
            "telephone_number": "863-584-2020",
            "fax_number": "863-299-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS, SALOMON & PARRISH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "863-299-8908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078873205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corina Perez
• Ivonne Perez
• Faith Perkins
• Bibita Peter, MD
• Ann M Phelps, ARNP
• Ananth K Pillai, MD
• Tracy McLeod Pinkney
• Racquel Piper
• Nancy Ann Pladziewicz, RN
• Polk County Anesthesia

• Optometrist in Bartow, FL
• Providers in Bartow, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.