Individual provider Active NPI

Hilda Ann McFall-Fialko

  • Optician
  • Crystal River, FL
National Provider Identifier
1467647198
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
203289691 Issued in FL
Practice address
827 SW Kingsbay Drive
Crystal River, FL 34429
Phone
(352) 795-2020
Fax
(352) 795-7432
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 203289691 FL Primary

Addresses

Primary practice location

827 SW Kingsbay Drive
Crystal River, FL 34429

Mailing address

1801 NW Hwy 19
Suite 165
Crystal River, FL 34428-6119
Phone (352) 795-2020

Other identifiers 1

IdentifierTypeStateIssuer
078546600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203289691FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
L Bruce Fosen OD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1467647198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW HWY 19",
            "address_2": "SUITE 165",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286119",
            "telephone_number": "352-795-2020",
            "fax_number": "352-795-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 SW KINGSBAY DRIVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-2020",
            "fax_number": "352-795-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFALL-FIALKO",
        "first_name": "HILDA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "203289691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078546600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.