Optikk 30a, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3910 Issued in FL

Legal business name

OPTIKK 30A, PA

Practice address

2050 W County Highway 30a
M1-119
Santa Rosa Beach, FL 32459-0187

Phone

(850) 608-3135

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Korrie L Lalim, O.D.NPI 1932201878

Title

Ceo

Phone

(850) 608-3135

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Korrie Lynn Lalim, O.D.

  • Optometrist
  • Santa Rosa Beach, FL
  • NPI 1932201878
  Medicare reassignment Care Compare group NPD Authorized official
• Natalie Pelly, OD

  • Optometrist
  • Destin, FL
  • NPI 1841862356
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1487031233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HWY 30A",
            "address_2": "M 1-119",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "M1-119",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-608-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIKK 30A, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "LALIM",
        "authorized_official_first_name": "KORRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-608-3135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3910",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC3910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livingston Nuamah, DPM
• Lan O'Donnell, O.D., M.S.
• Michael O'Donnell, D.M.D.
• Lisa E O'Neill, APRN
• Grant Forsyth Oberle, BHS
• Tanya Orr, DDS
• Orthopedic & Sports Physical Therapy Center LLC
• Brittany Pabalan, BCBA
• Emily Asbell Pace, PT, DPT
• John M Patton, M.D.

• Optometrist in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.