NPIMap

Organization Active NPI

Star Medical FL PLLC

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1598548919
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR MEDICAL FL PLLC
Practice address
14964 Max Leggett Pkwy Ste 106
Jacksonville, FL 32218-7270
Phone
(904) 686-1386
Fax
(904) 686-1363
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Christa Williams
Title
Director, Revenue Cycle Management
Phone
(904) 312-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14964 Max Leggett Pkwy Ste 106
Jacksonville, FL 32218-7270

Mailing address

7501 Paragon Rd Ste 201
Dayton, OH 45459-5323
Phone (904) 545-4465

National Provider Directory

National Provider Directory
Tax ID family
Star Medical FL PLLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14964 Max Leggett Pkwy
Ste 106
Jacksonville, FL 32218
Phone (904) 647-5400

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1598548919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 PARAGON RD STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595323",
            "telephone_number": "904-545-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14964 MAX LEGGETT PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187270",
            "telephone_number": "904-686-1386",
            "fax_number": "904-686-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL FL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "904-312-2295"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.