Organization Active NPI

Katie G McCreary, OD, PL

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1518113190
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3920 Issued in FL
Legal business name
KATIE G MCCREARY, OD, PL
Practice address
501 N Navy Blvd
Pensacola, FL 32507-2011
Phone
(850) 453-6635
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mrs. Katie Gilbert Spear, ODNPI 1548253974
Title
Director
Phone
(850) 207-2080

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 OPC3920 FL Primary

Addresses

Primary practice location

501 N Navy Blvd
Pensacola, FL 32507-2011

Mailing address

601 E Government St
Pensacola, FL 32502-6135
Phone (850) 207-2080

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1518113190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E GOVERNMENT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026135",
            "telephone_number": "850-207-2080",
            "fax_number": "850-497-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N NAVY BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325072011",
            "telephone_number": "850-453-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE G MCCREARY, OD, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-207-2080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.