Active NPI
Phillips, Salomon & Parrish, PA
- Optometrist
- Haines City, FL
National Provider Identifier
1730242041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PHILLIPS, SALOMON & PARRISH, PA
- Practice address
- 119 Patterson Rd
Haines City, FL 33844-7803 - Phone
- (863) 419-1300
- Fax
- (863) 595-2838
- NPI assigned
- Dec 18, 2006
- Last updated
- Feb 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad R Salomon, O.D.
- Title
- Registered Agent
- Phone
- (863) 299-8908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
119 Patterson Rd
Haines City, FL 33844-7803
Mailing address
215 1St St N
Suite 100
Winter Haven, FL 33881-4537
Phone (863) 299-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078873206 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1730242041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 1ST ST N",
"address_2": "SUITE 100",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814537",
"telephone_number": "863-299-8908",
"fax_number": "863-595-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 PATTERSON RD",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447803",
"telephone_number": "863-419-1300",
"fax_number": "863-595-2838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS, SALOMON & PARRISH, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "SALOMON",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "863-299-8908",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078873206",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
- Pediatric Health Choice
- Juan Pablo Pedroza Figueroa, APRN
- Mavelys Peraza
- Maritza E Perez, R.PH
- Personal Choice Home Care LLC
- Phoenix Advanced Inc (Haines City Dental)
- Physicians Services LLC
- Pinnacle Healthcare Services Inc. (Heart of Florida Assisted Living)
- Fabio Alberto Pizarro Victoria
- Platinum Hand Companion Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.