NPIMap

Organization Active NPI

North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
National Provider Identifier
1902190895
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME71349 Issued in FL
Legal business name
NORTH FLORIDA REGIONAL EYECARE, PA
Practice address
1905 Capital Cir NE
Tallahassee, FL 32308-4421
Phone
(850) 222-3937
Fax
(850) 877-0206
NPI assigned
Jun 8, 2011
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
James A Stephens, ODNPI 1851451405
Title
President
Phone
(850) 893-4005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPC935 FL
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME71349 FL Primary

Addresses

Primary practice location

1905 Capital Cir NE
Tallahassee, FL 32308-4421

Mailing address

1400 Village Square Blvd
Suite 3-165
Tallahassee, FL 32312-1250
Phone (850) 222-3937

National Provider Directory

National Provider Directory
Tax ID family
James a Stephens OD Associates PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1400 Village Square Blvd
Ste 3165
Tallahassee, FL 32312

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1902190895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD",
            "address_2": "SUITE 3-165",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121250",
            "telephone_number": "850-222-3937",
            "fax_number": "850-877-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-222-3937",
            "fax_number": "850-877-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA REGIONAL EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-893-4005",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC935",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME71349",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2017; 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.