Abernathy Shortridge Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

00274 Issued in FL

Legal business name

ABERNATHY SHORTRIDGE INC

Practice address

1001 Park St
Jacksonville, FL 32204-3907

Phone

(904) 355-6245

Fax

(904) 353-8904

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Louis E Shortridge Jr., LDO

Title

President

Phone

(904) 355-6245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1952464828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043907",
            "telephone_number": "904-355-6245",
            "fax_number": "904-353-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043907",
            "telephone_number": "904-355-6245",
            "fax_number": "904-353-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERNATHY SHORTRIDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SHORTRIDGE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-355-6245",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "00274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Isabelle Abel, LPC
• Martin Abel, MD
• Whitney Abel
• Kendra Marie Abelon, MSOT
• Jasmine Abenchuchan, MSW
• Bonny Michelle Abernathy, APRN
• Erika Abernathy
• Tamara Abi-Mourshed
• David Abia Trujillo
• Joseph Jack Abid, DDS

• Optician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.