Optisave Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1733 Issued in FL

Legal business name

OPTISAVE INC

Practice address

410 W Tennessee St
Tallahassee, FL 32301-1026

Phone

(850) 561-5030

Fax

(850) 561-0770

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karen Dora Detwiler, O.D.

Title

Owner

Phone

(850) 561-5030

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1861690828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011026",
            "telephone_number": "850-561-5030",
            "fax_number": "850-561-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011026",
            "telephone_number": "850-561-5030",
            "fax_number": "850-561-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTISAVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-561-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078234300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.