The Open Door, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE OPEN DOOR, INC.

Practice address

1310-3 West North Boulevard
Leesburg, FL 34748-3997

Phone

(352) 460-3529

Fax

(352) 508-9798

NPI assigned

Apr 26, 2018

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lula Frazier

Title

Owner

Phone

(352) 460-3529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1871081786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 KELLOGG DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784944",
            "telephone_number": "352-460-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310-3 WEST NORTH BOULEVARD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483997",
            "telephone_number": "352-460-3529",
            "fax_number": "352-508-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPEN DOOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "LULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-460-3529"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.