Organization Active NPI

Sherrie D Teddy Odpa

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1700954351
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1797 Issued in FL
Legal business name
SHERRIE D TEDDY ODPA
Practice address
2740 Seven Springs Blvd
New Port Richey, FL 34655-3623
Phone
(727) 372-0414
Fax
(727) 372-9313
NPI assigned
Dec 1, 2006
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Sherrie D Teddy, O.D.NPI 1720073984
Title
Owner
Phone
(727) 372-0414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1797 FL Primary

Addresses

Primary practice location

2740 Seven Springs Blvd
New Port Richey, FL 34655-3623

Mailing address

2740 Seven Springs Blvd
New Port Richey, FL 34655-3623
Phone (727) 372-0414

Other identifiers 1

IdentifierTypeStateIssuer
0482470001OtherFLP TAN

National Provider Directory

National Provider Directory

Locations

2740 Seven Springs Blvd
Trinity, FL 34655
Phone (727) 372-0414

Interoperability endpoints

  • FHIR API: https://drsherrieteddyfamilyeyecare.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1700954351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553623",
            "telephone_number": "727-372-0414",
            "fax_number": "727-372-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553623",
            "telephone_number": "727-372-0414",
            "fax_number": "727-372-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE D TEDDY ODPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "TEDDY",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-372-0414",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P TAN",
            "identifier": "0482470001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.