Organization Active NPI

325TH Medical Group (Usaf)

  • Clinic/Center
  • Tyndall AFB, FL
National Provider Identifier
1487628384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OEG000484 Issued in PA
Legal business name
325TH MEDICAL GROUP (USAF)
Practice address
340 Magnolia Cir
Optometry Clinic
Tyndall a F B, FL 32403-5604
Phone
(850) 283-7005
Fax
(850) 283-7123
NPI assigned
Feb 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Daniel Kulund, M.D.NPI 1972579951
Title
Chief of the Medical Staff
Phone
(850) 283-7717

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
Clinic/Center 261Q00000X OEG000484 PA Primary

Addresses

Primary practice location

340 Magnolia Cir
Optometry Clinic
Tyndall a F B, FL 32403-5604

Mailing address

340 Magnolia Circle
Optometry Clinic
Tyndall AFB, FL 32403
Phone (850) 283-7005

National Provider Directory

National Provider Directory
Tax ID family
325TH Medical Group Usaf4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487628384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIRCLE",
            "address_2": "OPTOMETRY CLINIC",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "32403",
            "telephone_number": "850-283-7005",
            "fax_number": "850-283-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "address_2": "OPTOMETRY CLINIC",
            "city": "TYNDALL A F B",
            "state": "FL",
            "postal_code": "324035604",
            "telephone_number": "850-283-7005",
            "fax_number": "850-283-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "325TH MEDICAL GROUP (USAF)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULUND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF OF THE MEDICAL STAFF",
        "authorized_official_telephone_number": "850-283-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "OEG000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall AFB, 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.