Organization Active NPI

Michael L Maggard

Doing business as Michael L Maggard OD

  • Optometrist
  • Dade City, FL
National Provider Identifier
1912194887
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0001762 Issued in FL
Legal business name
MICHAEL L MAGGARD
Doing business as
Michael L Maggard OD
Practice address
13930 7TH St
Dade City, FL 33525-4904
Phone
(352) 567-9020
NPI assigned
Sep 25, 2007
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Michael Maggard, ODNPI 1437155868
Title
Dr
Phone
(352) 567-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0001762 FL Primary

Addresses

Primary practice location

13930 7TH St
Dade City, FL 33525-4904

Mailing address

13930 7TH St
Dade City, FL 33525-4904

Other names 1

  • Michael L Maggard OD Doing business as

National Provider Directory

National Provider Directory

Locations

13930 7th St
Dade City, FL 33525
Phone (352) 567-8989

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1912194887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 7TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 7TH ST",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254904",
            "telephone_number": "352-567-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L MAGGARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MAGGARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "352-567-9020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0001762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael L Maggard OD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael L Maggard OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.