Active NPI
Sam Teske OD PA
- Optometrist
- New Port Richey, FL
National Provider Identifier
1710270103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3764
- 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 PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
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.
-
- Optometrist
- Tampa, FL
- NPI 1073807962
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Tampa, FL
- NPI 1013297910
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.