Organization Active NPI

John H. Mason P.a.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1720336928
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC00001946 Issued in FL
Legal business name
JOHN H. MASON P.A.
Practice address
5712 5TH Avenue N.
St. Petersburg, FL 33710-7104
Phone
(727) 344-0800
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
John H. Mason, O.D.NPI 1467481812
Title
Owner-Optometrist-President
Phone
(727) 344-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC00001946 FL Primary

Addresses

Primary practice location

5712 5TH Avenue N.
St. Petersburg, FL 33710-7104

Mailing address

5712 5TH Avenue N.
St. Petersburg, FL 33710-7104
Phone (727) 344-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120925000207 FL Part B Supplier - Clinic/Group Practice 1355453093 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory
Tax ID family
John H Mason PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5712 5th Ave N
St Petersburg, FL 33710
Phone (727) 344-0800

Practitioners & affiliated clinicians

Practitioners 2

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": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1720336928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 5TH AVENUE N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337107104",
            "telephone_number": "727-344-0800",
            "fax_number": "727-381-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 5TH AVENUE N.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337107104",
            "telephone_number": "727-344-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. MASON P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER-OPTOMETRIST-PRESIDENT",
        "authorized_official_telephone_number": "727-344-0800",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC00001946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.