PAULA JAYNE BOISCLAIR (NPI# 1649562489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649562489 |
| Entity Type | Individual |
| Full Name | PAULA JAYNE BOISCLAIR |
| Credential | OPTICIAN |
| Practice Address |
4399 35th St N St Petersburg FL 33714-3722 |
| Practice Telephone | 7275253959 |
| Practice Fax Number | 7275279695 |
| Mailing Telephone | 7275253959 |
| Mailing Fax Number | 7275279695 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4195 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 630114200 | 05 |
| Street Address |
4399 35TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33714-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962672410 | Jeffrey T Payne | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-03-11 |
| 1346652146 | Sarita Ledsome | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2014-05-28 |
| 1053616201 | Vaughn Rae Meiners | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-01-19 |
| 1326285594 | James Elias Lambrou | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2009-01-09 |
| 1285800284 | Stephanie Michelle Hendrix | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134601 | Andrew Lee Coet | Behavioral Analyst | 5185 45th St. N, Bldg C, St Petersburg, FL 33714 | 2016-10-04 |
| 1316323827 | Krystian Sarkady | Marriage & Family Therapist | 3959 52nd Ave N, Saint Petersburg, FL 33714 | 2015-08-06 |
| 1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
| 1225237100 | Springfield Development Company | Durable Medical Equipment & Medical Supplies | 5528 Haines Rd N, St Petersburg, FL 33714-0000 | 2007-07-12 |
| 1114323961 | Danang Pharmacy LLC | Pharmacy | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2014-11-06 |
| 1326664913 | Lananh Doan | Pharmacist | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2020-06-19 |
| 1073910410 | Britten Moyers | Counselor | 3455 58th Ave N, St Petersburg, FL 33714-1226 | 2014-12-01 |
| 1407355084 | Laurellwood Facility Inc | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2018-02-08 |
| 1871580894 | Scg Laurellwood, LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2005-10-04 |
| 1598135436 | Anne E. Roberts | Nurse Practitioner | 601 5th Street S., Suite #605, St. Petersburg, FL 33714-1326 | 2015-10-05 |
| Find all providers in zip 33714 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962672410 | Jeffrey T Payne | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-03-11 |
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1275609471 | Beach Drive Optical | Technician/Technologist | 238 Beach Dr Ne, St Petersburg, FL 33701-3414 | 2006-11-28 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1184083321 | National Vision, Inc. | Technician/Technologist | 3520 4th St N, St Petersburg, FL 33704 | 2016-02-16 |
| 1346652146 | Sarita Ledsome | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2014-05-28 |
| 1972920718 | Wal-mart Stores East, Lp | Technician/Technologist | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2014-03-18 |
| 1053616201 | Vaughn Rae Meiners | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-01-19 |
| 1326285594 | James Elias Lambrou | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2009-01-09 |
| 1285800284 | Stephanie Michelle Hendrix | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-04-30 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.