Sherrie D Teddy, ODPA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1797 Issued in FL

Practice address

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

Phone

(727) 372-0414

Fax

(727) 372-9313

NPI assigned

Sep 14, 2005

Reactivated

Apr 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherriet1@drsherrieteddyfamilyeyecare.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• True Eye Experts West Palm LLC

  • Optometrist
  • Vero Beach, FL
  • NPI 1184393720
  NPD

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1720073984",
    "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": {
        "last_name": "TEDDY",
        "first_name": "SHERRIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "ODPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-10-07",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "OPC1797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "19293Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410031537",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "117635",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C. B.S. ID NUMBER",
            "identifier": "19293",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/ DMERC",
            "identifier": "0482470001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Taylor, APRN-C
• Kelly Taylor, B.A.
• Robert Evan Taylor, APRN
• Tamara Taylor, MSW
• Yohans Taylor
• Timothy Andrew Tehan, PH.D.
• Shabnam Tehrani, DMD
• Richard Phillip Tellier, D.C.
• Mutinta Yvonne Tembo, PMHNP-BC
• Tender Lovin and Care Inc

• Optometrist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.