Active NPI
Joseph James Hatala
- Optometrist
- Clearwater, FL
National Provider Identifier
1669525192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2360
- Practice address
- 27001 US Highway 19 N
Suite 2004
Clearwater, FL 33761-3402 - Phone
- (727) 669-6369
- Fax
- (727) 669-9405
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2360 | FL | Primary |
Addresses
Primary practice location
27001 US Highway 19 N
Suite 2004
Clearwater, FL 33761-3402
Mailing address
27001 US 19 North
Suite 2004
Clearwater, FL 33761
Phone (727) 669-6369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2360 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669525192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27001 US 19 NORTH",
"address_2": "SUITE 2004",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33761",
"telephone_number": "727-669-6369",
"fax_number": "727-669-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27001 US HIGHWAY 19 N",
"address_2": "SUITE 2004",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613402",
"telephone_number": "727-669-6369",
"fax_number": "727-669-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATALA",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "2360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.