Organization Active NPI

Sam Teske OD PA

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1710270103
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3764 Issued in FL
Legal business name
SAM TESKE OD PA
Practice address
2740 Seven Springs Blvd
New Port Richey, FL 34655-3623
Phone
(727) 372-2020
Fax
(727) 372-9313
NPI assigned
May 18, 2011
Organization subpart
Yes
Parent organization
SAMUEL J TESKE OD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mr. Kevin Whaley, LDO
Title
Office Manager
Phone
(813) 632-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3764 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) 372-2020

Other names 1

  • The Eye Doctors of Trinity Doing business as

National Provider Directory

National Provider Directory
Part of
Samuel J Teske OD PA

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1710270103",
    "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": "727-372-2020",
            "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": "727-372-2020",
            "fax_number": "727-372-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM TESKE OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMUEL J TESKE OD PA",
        "enumeration_date": "2011-05-18",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-632-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Doctors of Trinity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2017; 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.