M Christina Memoli OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2959 Issued in FL

Legal business name

M CHRISTINA MEMOLI OD PA

Practice address

27901 US 19 N
Clearwater, FL 33761

Phone

(727) 725-0708

Fax

(813) 316-8300

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. M Christina Memoli, OD

Title

Optometrist

Phone

(407) 252-8641

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1407254907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S ORANGE BLOSSOM TRL STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099129",
            "telephone_number": "407-855-5321",
            "fax_number": "407-855-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 US 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "727-725-0708",
            "fax_number": "813-316-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "33511",
            "country_code": "US",
            "telephone_number": "813-654-7748",
            "fax_number": "813-654-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M CHRISTINA MEMOLI OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "MEMOLI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-252-8641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R. Lynch, AU.D.
• Tamela R Lynde
• Denise Lynn, LMHC
• Glynnis J Lyons, DO
• Larry Wayne Lytle, OTR/L
• M.K. El-Yousef, M.D. LLC
• Norma C Mabandos, P.T.
• Ashley Elizabeth Mabry
• Mac Alternative Therapies Inc
• Patricia Macaluso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.