Organization Active NPI

Edwin N Anguas, O.D. P.a.

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1417089343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC000907 Issued in FL
Legal business name
EDWIN N ANGUAS, O.D. P.A.
Doing business as
ValU-Vision of Orange Park
Practice address
28 Blanding Blvd
Orange Park, FL 32073-2202
Phone
(904) 264-5483
Fax
(904) 213-0515
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edwin Norton Anguas, O.D.
Title
Optometrist
Phone
(904) 264-5483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC000907 FL Primary

Addresses

Primary practice location

28 Blanding Blvd
Orange Park, FL 32073-2202

Mailing address

28 Blanding Blvd
Orange Park, FL 32073-2202
Phone (904) 264-5483

Other names 1

  • ValU-Vision of Orange Park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417089343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732202",
            "telephone_number": "904-264-5483",
            "fax_number": "904-213-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732202",
            "telephone_number": "904-264-5483",
            "fax_number": "904-213-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN N ANGUAS, O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGUAS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "904-264-5483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC000907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ValU-Vision of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.