Active NPI
Optopia Inc.
- Home Health Agency
- Jacksonville Beach, FL
National Provider Identifier
1578976478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PT5545
- Legal business name
- OPTOPIA INC.
- Practice address
- 1304 16TH Ave N
Jacksonville Beach, FL 32250-3777 - Phone
- (904) 562-8571
- Fax
- (904) 246-4602
- NPI assigned
- Jun 9, 2014
- Last updated
- Jun 9, 2014
- 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
- Mr. Jeffrey Carl Parks, PT
- Title
- President
- Phone
- (904) 562-8571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PT5545 | FL | Primary |
Addresses
Primary practice location
1304 16TH Ave N
Jacksonville Beach, FL 32250-3777
Mailing address
1304 16TH Ave N
Jacksonville Beach, FL 32250-3777
Phone (904) 562-8571
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Occupational Therapist
- Jacksonville Beach, FL
- NPI 1295107050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1578976478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 16TH AVE N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503777",
"telephone_number": "904-562-8571",
"fax_number": "904-246-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 16TH AVE N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503777",
"telephone_number": "904-562-8571",
"fax_number": "904-246-4602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTOPIA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-562-8571",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "PT5545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.