Organization Active NPI

Joel K Shugar MD PA

  • Optometrist
  • Perry, FL
National Provider Identifier
1699887372
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3983 Issued in FL
Legal business name
JOEL K SHUGAR MD PA
Practice address
555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone
(850) 584-2778
Fax
(850) 584-2790
NPI assigned
Aug 31, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Charles Scott Keeler
Title
Managing Employee/Ceo
Phone
(850) 584-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OPC3983 FL Primary

Addresses

Primary practice location

555 N Byron Butler Pkwy
Perry, FL 32347-2315

Mailing address

555 N Byron Butler Pkwy
Perry, FL 32347-2315
Phone (850) 584-2778

National Provider Directory

National Provider Directory
Tax ID family
Joel K Shugar MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1699887372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL K SHUGAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE/CEO",
        "authorized_official_telephone_number": "850-584-2778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

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