Organization Active NPI

Paul W Maurer

  • Clinical Medical Laboratory
  • Key West, FL
National Provider Identifier
1891969457
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
ME0065103 Issued in FL
Legal business name
PAUL W MAURER
Practice address
3708 N Roosevelt Blvd
Key West, FL 33040-4533
Phone
(305) 296-1097
Fax
(305) 926-8532
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Dr. Paul W Maurer, M.D.NPI 1235239351
Title
Doctor/Owner
Phone
(305) 296-1097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X ME0065103 FL Primary

Addresses

Primary practice location

3708 N Roosevelt Blvd
Key West, FL 33040-4533

Mailing address

3708 N Roosevelt Blvd
Key West, FL 33040-4533
Phone (305) 296-1097

Other names 1

  • keys eye care optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930096347 FL DME Supplier - Physician - Ophthalmology 4183837826 Practice locations: Key West, FL

National Provider Directory

National Provider Directory
Tax ID family
Keys Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3708 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 295-9889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1891969457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404533",
            "telephone_number": "305-296-1097",
            "fax_number": "305-926-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404533",
            "telephone_number": "305-296-1097",
            "fax_number": "305-926-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W MAURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "305-296-1097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME0065103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "keys eye care optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.