Individual provider Active NPI

Terrie J. Overholser, O.D.

  • Optometrist
  • Ocala, FL
National Provider Identifier
1639230121
Registry record updated Feb 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2597 Issued in FL
Practice address
5353 SW College Rd
Ocala, FL 34474-5717
Phone
(352) 237-9451
Fax
(352) 237-9479
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2597 FL Primary

Addresses

Primary practice location

5353 SW College Rd
Ocala, FL 34474-5717

Mailing address

5353 SW College Rd
Ocala, FL 34474-5717
Phone (352) 237-9451

Other identifiers 1

IdentifierTypeStateIssuer
20413OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000619 FL Practitioner - Optometry 5092894097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2597FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Optometrists of Overholser & Overholser OD PA Optometrist CurrentSince Feb 2, 2008 Accepting new patients
Aeg Florida Professional PLLC Optometrist PastSince Dec 2, 2022 Accepting new patients

Locations

5353 SW College Rd
Ocala, FL 34474
Phone (352) 237-9451

17961 S US Highway 441
Summerfield, FL 34491
Phone (352) 307-4435

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201996800000",
    "number": "1639230121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745717",
            "telephone_number": "352-237-9451",
            "fax_number": "352-237-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745717",
            "telephone_number": "352-237-9451",
            "fax_number": "352-237-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLSER",
        "first_name": "TERRIE",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "20413",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.