Active NPI
Patricia Mary Veltman, LDO
- Optician
- Crystal River, FL
National Provider Identifier
1932369147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4422
- Practice address
- 1661 SE US Highway 19
Crystal River, FL 34429-4830 - Phone
- (352) 563-1666
- Fax
- (352) 563-1673
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4422 | FL | Primary |
Addresses
Primary practice location
1661 SE US Highway 19
Crystal River, FL 34429-4830
Mailing address
1661 SE US Highway 19
Crystal River, FL 34429-4830
Phone (352) 563-1666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630108800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO4422 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1932369147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 SE US HIGHWAY 19",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294830",
"telephone_number": "352-563-1666",
"fax_number": "352-563-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SE US HIGHWAY 19",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344294830",
"telephone_number": "352-563-1666",
"fax_number": "352-563-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELTMAN",
"first_name": "PATRICIA",
"middle_name": "MARY",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630108800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
- Susan Arlene Vanwalker, ITDS
- VDC-Crystal River PA
- Vdccr,P.a. (Value Dental Care)
- Enrique Velazquez, M.D.
- Robertus Veldwijk, PHYSICAL THERAPIST
- Victoria L Torralba MD
- Beverly Vienot, FNP
- Raquel Villar Machado, DMD
- Jocelyn Elise Vincent, ARNP
- Vision Specialty Associates, P.a. (Vision Specialty Assoc., P.a. #11)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.