Active NPI
Barry M. Gootson O.D., P.a.
- Optometrist
- Seminole, FL
National Provider Identifier
1467528174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FL1085
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryPractitioners & 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.
-
- Optometrist
- Seminole, FL
- NPI 1467641589
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.