Organization Active NPI

Whitney J Luster PA

  • Optometrist
  • Ruskin, FL
National Provider Identifier
1386162865
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WHITNEY J LUSTER PA
Practice address
25 W College Ave Ste D
Ruskin, FL 33570-4701
Phone
(813) 886-2020
Fax
(855) 824-1872
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Sheri Hluhan
Title
Practice Manager
Phone
(813) 886-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

25 W College Ave Ste D
Ruskin, FL 33570-4701

Mailing address

25 W College Ave Ste D
Ruskin, FL 33570-4701
Phone (813) 886-2020

Other identifiers 1

IdentifierTypeStateIssuer
16723500MedicaidFL

National Provider Directory

National Provider Directory

Locations

25 W College Ave
Ste D
Ruskin, FL 33570
Phone (813) 886-2020

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1386162865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "18138862020",
            "fax_number": "855-824-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "813-886-2020",
            "fax_number": "855-824-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY J LUSTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "HLUHAN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-886-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16723500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.