NPIMap

Organization Active NPI

John L. Meyers, OD PA

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1790812626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FL3195 Issued in FL
Legal business name
JOHN L. MEYERS, OD PA
Practice address
9408 US Highway 19
#504
Port Richey, FL 34668-4623
Phone
(727) 845-5506
Fax
(727) 842-6618
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John L Meyers, ODNPI 1053484634
Title
President
Phone
(727) 845-5506

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 FL3195 FL Primary

Addresses

Primary practice location

9408 US Highway 19
#504
Port Richey, FL 34668-4623

Mailing address

9408 US Highway 19
#504
Port Richey, FL 34668-4623
Phone (727) 845-5506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000730 FL Part B Supplier - Clinic/Group Practice 2668495532 Receives reassigned benefits from 5 practitioners
Practice locations: Clearwater, FL; Port Richey, FL

National Provider Directory

National Provider Directory

Locations

9408 US Highway 19
#504
Port Richey, FL 34668
Phone (727) 845-5506

9409 US Highway 19
Ste 336
Port Richey, FL 34668
Phone (727) 842-3733

9409 US Highway 19
Ste 504
Port Richey, FL 34668
Phone (727) 845-5506

Practitioners & affiliated clinicians

Practitioners 5

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790812626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 US HIGHWAY 19",
            "address_2": "#504",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684623",
            "telephone_number": "727-845-5506",
            "fax_number": "727-842-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 US HIGHWAY 19",
            "address_2": "#504",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684623",
            "telephone_number": "727-845-5506",
            "fax_number": "727-842-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. MEYERS, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-845-5506",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.