Active NPI
Richard Ingham
- Optometrist
- Saint Petersburg, FL
National Provider Identifier
1952464786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1160
- Practice address
- 6901 22ND Ave N
Saint Petersburg, FL 33710-3943 - Phone
- (727) 343-3006
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1160 | FL | Primary |
Addresses
Primary practice location
6901 22ND Ave N
Saint Petersburg, FL 33710-3943
Mailing address
805 Maple Ridge Rd
Palm Harbor, FL 34683-2919
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952464786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MAPLE RIDGE RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346832919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 22ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337103943",
"telephone_number": "727-343-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGHAM",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, 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.