James Cancellari, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1461 Issued in FL

Legal business name

JAMES CANCELLARI, OD, PA

Practice address

7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178

Phone

(813) 920-3712

Fax

(813) 920-8531

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

James Cancellari, O.D.

Title

President

Phone

(813) 920-3712

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1821390469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 CITRUS PARK TOWN CENTER MALL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253178",
            "telephone_number": "813-920-3712",
            "fax_number": "813-920-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 CITRUS PARK TOWN CENTER MALL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253178",
            "telephone_number": "813-920-3712",
            "fax_number": "813-920-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES CANCELLARI, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "CANCELLARI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-920-3712",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078197500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James a. Haley VA Hospital
• James a. Haley Veterans Administration Hospital
• James a. Haley Veterans Hospital
• James a. Haley Veterans' Hospital
• James a. Haley Vetran's Hospital
• James G Hankerson PA (Magnolia Anesthesia Consultants)
• James G Wilson DMD PA (Tampa Bay Periodontics and Implant Dentistry)
• James L. Greco. Jr OD
• James Michael Buscemi (Therapy At Home)
• James R Patterson MD PA

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.