Organization Active NPI

SJ Vision, P.a.

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1679954515
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SJ VISION, P.A.
Practice address
32660 US Highway 19 N
Palm Harbor, FL 34684-3113
Phone
(727) 430-9359
Fax
(727) 223-5808
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Dr. Sujey Kuan, O.D.NPI 1437487659
Title
Optometrist
Phone
(727) 430-9359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

32660 US Highway 19 N
Palm Harbor, FL 34684-3113

Mailing address

32660 US Highway 19 N
Palm Harbor, FL 34684-3113
Phone (727) 430-9359

Other names 1

  • SJ Vision Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150909001496 FL Part B Supplier - Clinic/Group Practice 0042527939 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

32660 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 430-9359

32668 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-3110

Practitioners & affiliated clinicians

Practitioners 2

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": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1679954515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32660 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843113",
            "telephone_number": "727-430-9359",
            "fax_number": "727-223-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32660 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843113",
            "telephone_number": "727-430-9359",
            "fax_number": "727-223-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ VISION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "KUAN",
        "authorized_official_first_name": "SUJEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "727-430-9359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJ Vision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.