Individual provider Active NPI

Tammy Marie Wilhite

  • Optician
  • Holiday, FL
National Provider Identifier
1740922814
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO5806 Issued in FL
Practice address
2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone
(727) 937-6551
Fax
(727) 942-7200
NPI assigned
Apr 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO5806 FL Primary

Addresses

Primary practice location

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942

Mailing address

2435 US Highway 19 Ste 100
Holiday, FL 34691-3942
Phone (727) 937-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO5806FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Optical of Florida, LLC Current Accepting new patients

Locations

2435 US Highway 19
Ste 100
Holiday, FL 34691
Phone (727) 937-6551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1740922814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19 STE 100",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913942",
            "telephone_number": "727-937-6551",
            "fax_number": "727-942-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.