Organization Active NPI

J Harold Stanley MD PA

  • Eyewear Supplier
  • Plantation, FL
National Provider Identifier
1740645274
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
ME25911 Issued in FL
Legal business name
J HAROLD STANLEY MD PA
Practice address
1776 N Pine Island Road
Suite 124
Plantation, FL 33322
Phone
(954) 473-4108
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Mrs. Gail Tysenn
Title
Billing Manager
Phone
(954) 473-4108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC1779 FL
Eyewear Supplier 332H00000X ME25911 FL Primary

Addresses

Primary practice location

1776 N Pine Island Road
Suite 124
Plantation, FL 33322

Mailing address

1776 N Pine Island Rd
Suite 124
Plantation, FL 33322-5233
Phone (954) 473-4108

Other identifiers 1

IdentifierTypeStateIssuer
030403191OtherFLNPI 11#

National Provider Directory

National Provider Directory

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1740645274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD",
            "address_2": "SUITE 124",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225233",
            "telephone_number": "954-473-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND ROAD",
            "address_2": "SUITE 124",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-473-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J HAROLD STANLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "TYSENN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-473-4108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC1779",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME25911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 11#",
            "identifier": "030403191",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.