Active NPI
Carol Giguere, O.D.
- Optometrist
- Tallahassee, FL
National Provider Identifier
1891025136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2770
- Practice address
- 1480 Timberlane Rd
Tallahassee, FL 32312-1713 - Phone
- (850) 893-4687
- Fax
- (850) 893-4687
- NPI assigned
- Jan 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2770 | FL | Primary |
| Optometrist | 152W00000X | 04585T | TX | |
| Optometrist | 152W00000X | 0618001209 | VA | |
| Optometrist | 152W00000X | 339 | PR |
Addresses
Primary practice location
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Mailing address
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC2770 | Other | FL | FL LICENSE |
| 001859700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2770 | FL | MD | Optometrist |
| 04585T | TX | MD | Optometrist |
| 0618001209 | VA | MD | Optometrist |
| 339 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Tallahassee, P.a. Dba Eye Associates of North Florida | Past | Accepting new patients | |
| Eye Centers of Florida | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Tallahassee, FL
- NPI 1750388203
-
- Optometrist
- Lehigh Acres, FL
- NPI 1942362140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1891025136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 TIMBERLANE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121713",
"telephone_number": "850-893-4005",
"fax_number": "850-893-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 TIMBERLANE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121713",
"telephone_number": "850-893-4687",
"fax_number": "850-893-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIGUERE",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "2770",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "04585T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001209",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "339",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "OPC2770",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001859700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.