Organization Active NPI

Eric M Gruber OD, PA

  • Optometrist
  • Saint Cloud, FL
National Provider Identifier
1841628054
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2671 Issued in FL
Legal business name
ERIC M GRUBER OD, PA
Practice address
4400 13TH St
Saint Cloud, FL 34769-6763
Phone
(407) 957-4830
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Eric M Gruber, OD
Title
Optometrist
Phone
(407) 957-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2671 FL Primary

Addresses

Primary practice location

4400 13TH St
Saint Cloud, FL 34769-6763

Mailing address

4400 13TH St
Saint Cloud, FL 34769-6763
Phone (407) 957-4830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1841628054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696763",
            "telephone_number": "407-957-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696763",
            "telephone_number": "407-957-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC M GRUBER OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-957-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.