Jo Ellen Tomlinson OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2567 Issued in FL

Legal business name

JO ELLEN TOMLINSON OD LLC

Practice address

1226 Freeport Hwy S
Defuniak Springs, FL 32435-3396

Phone

(850) 892-4022

Fax

(850) 892-3975

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Jo Ellen Tomlinson, OD

Title

Owner

Phone

(850) 892-4022

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1649444332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325800416",
            "telephone_number": "850-892-4022",
            "fax_number": "850-892-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 FREEPORT HWY S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324353396",
            "telephone_number": "850-892-4022",
            "fax_number": "850-892-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO ELLEN TOMLINSON OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-892-4022",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20416",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620133400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute of Medical Excellence
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• Jana Holland PA
• JC Consulting and Support LLC
• Jerold a. Derkaz, MD PA
• Haley Lynn Johnson
• Yasmin Johnson
• Pamela Gail Jones, LMHC
• Reginald Lamar Jones, LMHC
• Joseph E Morris DC LLC

• Optometrist in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.