NPIMap

Organization Active NPI

Debra a. Shim, OD, PA

Doing business as VisualEyes of the Palm Beaches

  • Corneal and Contact Management Optometrist
  • Jupiter, FL
National Provider Identifier
1801293709
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3312 Issued in FL
Legal business name
DEBRA A. SHIM, OD, PA
Doing business as
VisualEyes of the Palm Beaches
Practice address
451 University Blvd Ste 102
Jupiter, FL 33458-3102
Phone
(561) 625-4380
Fax
(561) 625-3920
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Debra Ann Shim, O.D.NPI 1407907413
Title
Owner
Phone
(561) 625-4380

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
Corneal and Contact Management Optometrist 152WC0802X 3312 FL Primary

Addresses

Primary practice location

451 University Blvd Ste 102
Jupiter, FL 33458-3102

Mailing address

451 University Blvd Ste 102
Jupiter, FL 33458-3102
Phone (561) 625-4380

Other names 1

  • VisualEyes of the Palm Beaches Doing business as

National Provider Directory

National Provider Directory

Locations

451 University Blvd
Ste 102
Jupiter, FL 33458
Phone (561) 625-4380

Practitioners & affiliated clinicians

Practitioners 4

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": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1801293709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY BLVD STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583102",
            "telephone_number": "561-625-4380",
            "fax_number": "561-625-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 UNIVERSITY BLVD STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583102",
            "telephone_number": "561-625-4380",
            "fax_number": "561-625-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A. SHIM, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-625-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisualEyes of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.