Individual provider Active NPI

Brian David Paparodis, OPTICIAN

  • Optician
  • Ruskin, FL
National Provider Identifier
1932317211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO3709 Issued in FL
Practice address
3830 Sun City Center Blvd Ste 105
Ruskin, FL 33573-6820
Phone
(813) 634-6155
Fax
(813) 634-6236
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO3709 FL Primary

Addresses

Primary practice location

3830 Sun City Center Blvd Ste 105
Ruskin, FL 33573-6820

Mailing address

7119 87TH LN E
Palmetto, FL 34221-1212
Phone (941) 723-0461

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO3709FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932317211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 87TH LN E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211212",
            "telephone_number": "941-723-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 SUN CITY CENTER BLVD STE 105",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736820",
            "telephone_number": "813-634-6155",
            "fax_number": "813-634-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPARODIS",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.