Organization Active NPI

Deborah C Flanagan OD PA

  • Corneal and Contact Management Optometrist
  • St Petersburg, FL
National Provider Identifier
1679741391
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC1713 Issued in FL
Legal business name
DEBORAH C FLANAGAN OD PA
Doing business as
EYEWEAR UNIQUE
Practice address
4940 Central Ave
St Petersburg, FL 33707-1941
Phone
(727) 321-6600
Fax
(727) 321-8300
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Dr. Deborah C Flanagan, OD
Title
Optometric Physician
Phone
(727) 321-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X OPC1713 FL Primary

Addresses

Primary practice location

4940 Central Ave
St Petersburg, FL 33707-1941

Mailing address

4940 Central Ave
St Petersburg, FL 33707-1941
Phone (727) 321-6600

Other identifiers 1

IdentifierTypeStateIssuer
078307200MedicaidFL

Other names 1

  • EYEWEAR UNIQUE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1679741391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071941",
            "telephone_number": "727-321-6600",
            "fax_number": "727-321-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071941",
            "telephone_number": "727-321-6600",
            "fax_number": "727-321-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH C FLANAGAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "727-321-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078307200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEWEAR UNIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.