Active NPI
Thomas K Flanagan OD and Associates PA
- Optometrist
- St Petersburg, FL
National Provider Identifier
1548384522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC001600
- Legal business name
- THOMAS K FLANAGAN OD AND ASSOCIATES PA
- Practice address
- 3322 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1212 - Phone
- (727) 895-3443
- Fax
- (727) 895-3443
- NPI assigned
- Mar 16, 2007
- 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. Thomas K Flanagan, OD
- Title
- President
- Phone
- (727) 895-3443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC001600 | FL | Primary |
Addresses
Primary practice location
3322 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1212
Mailing address
3322 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1212
Phone (727) 895-3443
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410046199 | Other | RAILROAD MEDICARE | |
| 19437 | Other | FL | BCBS |
| 078540700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302739200000",
"number": "1548384522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337041212",
"telephone_number": "727-895-3443",
"fax_number": "727-895-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337041212",
"telephone_number": "727-895-3443",
"fax_number": "727-895-3443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS K FLANAGAN OD AND ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2011-04-14",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-895-3443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC001600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410046199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19437",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078540700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.