NPIMap

Organization Active NPI

Primary Eye Care of Florida, LLC

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1902134612
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3811 Issued in FL
Legal business name
PRIMARY EYE CARE OF FLORIDA, LLC
Practice address
9409 US Highway 19 Ste 101
Port Richey, FL 34668-4626
Phone
(727) 846-6235
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Riz Juan Khan, OD
Title
Optometrist
Phone
(407) 401-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3811 FL Primary

Addresses

Primary practice location

9409 US Highway 19 Ste 101
Port Richey, FL 34668-4626

Mailing address

7442 Transom CT
Tampa, FL 33607-5870
Phone (727) 846-6235

National Provider Directory

National Provider Directory

Locations

451 E Altamonte Dr
Ste 403
Altamonte Springs, FL 32701
Phone (407) 767-6238

9409 US Highway 19
Ste 101
Port Richey, FL 34668
Phone (727) 846-0172

320 Towne Center Cir
Sanford, FL 32771
Phone (407) 323-8291

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1902134612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 TRANSOM CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075870",
            "telephone_number": "727-846-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19 STE 101",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684626",
            "telephone_number": "727-846-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE CARE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RIZ",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-401-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.