Organization Active NPI

Barry M. Gootson O.D., P.a.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1467528174
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL1085 Issued in FL
Legal business name
BARRY M. GOOTSON O.D., P.A.
Practice address
9009 Park Boulevard
Seminole, FL 33777-4152
Phone
(727) 393-0500
Fax
(727) 397-8930
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Barry Michael Gootson, O.D.NPI 1467641589
Title
President
Phone
(727) 393-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FL1085 FL Primary

Addresses

Primary practice location

9009 Park Boulevard
Seminole, FL 33777-4152

Mailing address

9009 Park Boulevard
Seminole, FL 33777-4152
Phone (727) 393-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1467528174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 PARK BOULEVARD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774152",
            "telephone_number": "727-393-0500",
            "fax_number": "727-397-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 PARK BOULEVARD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774152",
            "telephone_number": "727-393-0500",
            "fax_number": "727-397-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M. GOOTSON O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "GOOTSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-393-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.