Active NPI
Deena G Holbrook, D.O.
- Optician
- Tampa, FL
National Provider Identifier
1699974287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 2142
- Practice address
- 224 E Bearss Ave
Tampa, FL 33613-1625 - Phone
- (813) 961-4326
- Fax
- (813) 969-2590
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 2142 | FL | Primary |
Addresses
Primary practice location
224 E Bearss Ave
Tampa, FL 33613-1625
Mailing address
224 E Bearss Ave
Tampa, FL 33613-1625
Phone (813) 961-4326
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2142 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1699974287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 E BEARSS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131625",
"telephone_number": "813-961-4326",
"fax_number": "813-969-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E BEARSS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131625",
"telephone_number": "813-961-4326",
"fax_number": "813-969-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "DEENA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "2142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.