Fleming Island 2020 PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3241 Issued in FL

Legal business name

FLEMING ISLAND 2020 PA

Practice address

1505 County Road 220
Orange Park, FL 32003-7926

Phone

(904) 215-3005

NPI assigned

Jun 2, 2008

Last updated

Feb 3, 2010By 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

Dr. Sharokh Kapadia, ODNPI 1942299847

Title

Owner

Phone

(904) 287-9137

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Sharokh Nani Kapadia, OD

  • Optometrist
  • St Augustine, FL
  • NPI 1942299847
  Authorized official Same address or phone

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1881852291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR",
            "address_2": "SUITE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923057",
            "telephone_number": "904-287-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 COUNTY ROAD 220",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037926",
            "telephone_number": "904-215-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMING ISLAND 2020 PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "SHAROKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-287-9137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3241",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620800200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620801100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Senior Home Health IV, LLC (First Senior Home Health)
• Sarah Fishwild
• Five G Services LLC
• Summer Flack
• Victoria Flemens
• Fleming Island Anesthesia LLC
• Fleming Island Family Chiropractic
• Fleming Island Family Dentistry, PA
• Fleming Island Surgery Center
• Fleming Island Vision Center (Pearle Vision)

• Optometrist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.