Shaun J. Small O.D, P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0003984 Issued in FL

Legal business name

SHAUN J. SMALL O.D, P.A

Practice address

407 E Oak Ave
Tampa, FL 33602-2712

Phone

(813) 443-5660

Fax

(813) 443-5661

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Jerome Small, O.D.

Title

President

Phone

(813) 443-5660

Specialties & licenses 1

Addresses

Other names 1

• East Oak Optical Doing business as

Locations

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1891023628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022712",
            "telephone_number": "813-443-5660",
            "fax_number": "813-443-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022712",
            "telephone_number": "813-443-5660",
            "fax_number": "813-443-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN J. SMALL O.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-443-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0003984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Oak Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Lennon Sharpe, MED CCCSLP
• Tracy Sharrow, M.S., CCC-SLP
• Danielle Rae Shashkun
• George Paul Shaughness, M.D.
• Hillary C Shaughnessy
• Cindy Sue Soto Shavor
• Crystal Shaw-Oberle
• Anna Shaw, APRN
• Austin Jacob Shaw, D.C.
• Billie Jo M Shaw, MS

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

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