Individual provider Active NPI

Frank E. Houser, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1366435604
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2425 Issued in FL
Practice address
13170 Atlantic Blvd
Suite 53
Jacksonville, FL 32225-6149
Phone
(904) 221-6500
Fax
(904) 221-6504
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2425 FL Primary

Addresses

Primary practice location

13170 Atlantic Blvd
Suite 53
Jacksonville, FL 32225-6149

Mailing address

13170 Atlantic Blvd
Suite 53
Jacksonville, FL 32225-6149
Phone (904) 221-6500

Other identifiers 1

IdentifierTypeStateIssuer
1841514320OtherFLCORPORATE NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000225 FL Practitioner - Optometry 0840326682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

13170 Atlantic Blvd
Suite 53
Jacksonville, FL 32225-4151
Phone (904) 221-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2425FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Mar 6, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 6, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

13170 Atlantic Blvd
Ste 53
Jacksonville, FL 32225
Phone (904) 221-6500

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1366435604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 ATLANTIC BLVD",
            "address_2": "SUITE 53",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256149",
            "telephone_number": "904-221-6500",
            "fax_number": "904-221-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13170 ATLANTIC BLVD",
            "address_2": "SUITE 53",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256149",
            "telephone_number": "904-221-6500",
            "fax_number": "904-221-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "FRANK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1841514320",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.