Provider Demographics
NPI:1376596551
Name:JAMES P. POWERS D.O., P.A.
Entity Type:Organization
Organization Name:JAMES P. POWERS D.O., P.A.
Other - Org Name:HEALTHY VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, PA
Authorized Official - Phone:727-738-5900
Mailing Address - Street 1:1595 PRESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-2724
Mailing Address - Country:US
Mailing Address - Phone:727-738-5900
Mailing Address - Fax:727-738-5740
Practice Address - Street 1:2196 MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5693
Practice Address - Country:US
Practice Address - Phone:727-738-5900
Practice Address - Fax:727-738-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8433207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7052550OtherAETNA POWERS
FL7209336OtherAETNA HANDZA
FL7209336OtherAETNA HANDZA
FLK6121Medicare PIN
FLI11291Medicare UPIN