Tara a Thiel OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TARA A THIEL OD PA

Practice address

6901 22ND Ave N
St Petersburg, FL 33710-3943

Phone

(727) 302-0467

Fax

(727) 302-0498

NPI assigned

Feb 6, 2018

Last updated

Feb 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tara A Thiel, OD

Title

Owner

Phone

(727) 302-0467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1578062410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 8TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043246",
            "telephone_number": "727-302-0467",
            "fax_number": "727-302-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103943",
            "telephone_number": "727-302-0467",
            "fax_number": "727-302-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA A THIEL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-302-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.