Organization Active NPI

Older & Slonim MD's PA

Doing business as J. Justin Older Eyelid Institute

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Tampa, FL
National Provider Identifier
1851441356
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME21356 Issued in FL
Legal business name
OLDER & SLONIM MD'S PA
Doing business as
J. Justin Older Eyelid Institute
Older & Slonim MD's PA
Practice address
4444 E Fletcher Ave
Suite D
Tampa, FL 33613
Phone
(813) 971-3846
Fax
(813) 977-2611
NPI assigned
Jan 10, 2007
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Sheryl Barning
Title
Billing Manager
Phone
(813) 971-3846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME21356 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME21356 FL Primary

Addresses

Primary practice location

4444 E Fletcher Ave
Suite D
Tampa, FL 33613

Mailing address

4444 E Fletcher Ave
Suite D
Tampa, FL 33613-4905
Phone (813) 971-3846

Other identifiers 1

IdentifierTypeStateIssuer
38934OtherFLBCBS GROUP PAYEE #

Other names 2

  • J. Justin Older Eyelid Institute Doing business as
  • Older & Slonim MD's PA Doing business as

National Provider Directory

National Provider Directory

Locations

630 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-7100

Practitioners & affiliated clinicians

Practitioners 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1851441356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 E FLETCHER AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134905",
            "telephone_number": "813-971-3846",
            "fax_number": "813-977-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E FLETCHER AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-971-3846",
            "fax_number": "813-977-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDER & SLONIM MD'S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "BARNING",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "813-971-3846"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME21356",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME21356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PAYEE #",
            "identifier": "38934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Justin Older Eyelid Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Older & Slonim MD's PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.