Organization Active NPI

Dr Hite and Associates , P.a.

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1730417171
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3592 Issued in FL
Legal business name
DR HITE AND ASSOCIATES , P.A.
Practice address
58 Blanding Blvd
Orange Park, FL 32073-2625
Phone
(904) 276-5693
Fax
(904) 276-5594
NPI assigned
Nov 23, 2009
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Hilda Yadira Hite, O.D.NPI 1164440046
Title
Director
Phone
(904) 276-5693

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
Optometrist 152W00000X OPC 3592 FL Primary

Addresses

Primary practice location

58 Blanding Blvd
Orange Park, FL 32073-2625

Mailing address

58 Blanding Blvd
Orange Park, FL 32073-2625
Phone (904) 276-5693

Other identifiers 1

IdentifierTypeStateIssuer
620764200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100123000092 FL Part B Supplier - Clinic/Group Practice 9739221144 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Locations

58 Blanding Blvd
Orange Park, FL 32073
Phone (904) 276-2973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1730417171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732625",
            "telephone_number": "904-276-5693",
            "fax_number": "904-276-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732625",
            "telephone_number": "904-276-5693",
            "fax_number": "904-276-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HITE AND ASSOCIATES , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HITE",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "YADIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-276-5693",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620764200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.