Organization Active NPI

Nehaul & Stryker, O.D., PLLC

  • Optometrist
  • Gibsonton, FL
National Provider Identifier
1831594340
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEHAUL & STRYKER, O.D., PLLC
Practice address
13135 Kings Lake Dr
Suite 101
Gibsonton, FL 33534-3960
Phone
(813) 498-1905
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Desiree Stryker
Title
Optometric Physician
Phone
(423) 782-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13135 Kings Lake Dr
Suite 101
Gibsonton, FL 33534-3960

Mailing address

13135 Kings Lake Dr
Suite 101
Gibsonton, FL 33534-3960

National Provider Directory

National Provider Directory

Locations

13135 Kings Lake Dr
Unit 101
Gibsonton, FL 33534
Phone (813) 498-1905

Practitioners & affiliated clinicians

Practitioners 1

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1831594340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 KINGS LAKE DR",
            "address_2": "SUITE 101",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 KINGS LAKE DR",
            "address_2": "SUITE 101",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343960",
            "telephone_number": "813-498-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHAUL & STRYKER, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "STRYKER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "423-782-6181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.