Carl E Doughty

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1078 Issued in FL

Practice address

1051 PT Malabar BV NE
Suite 14
Palm Bay, FL 32905

Phone

(321) 723-9350

Fax

(321) 723-7397

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Space Coast Eye Care Inc.

  • Optometrist
  • Palm Bay, FL
  • NPI 1619245644
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1962594119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PT MALABAR BV NE",
            "address_2": "STE 14",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-723-9350",
            "fax_number": "321-723-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PT MALABAR BV NE",
            "address_2": "SUITE 14",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-723-9350",
            "fax_number": "321-723-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "CARL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karan Doomra, DDS
• Whitney Dopico, MA
• Isabel Dopson
• Lorraine Dorleans
• Maritza Dotres Martinez, MD
• Kendra Downeryoung, RN, MSN
• Loretta Sabina Dozier
• Dr J Comerford PA
• Dr James W Cobb, Jr, PA
• Dr Mark S Coican PA

• Optometrist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.