JACK N SPERRY JR O.D. PA
NPI 1609145507
Optometrist in Tavares, FL

Active since December 21, 2011
720 LAKE DORA DR, TAVARES, FL 32778(352) 551-5612 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack N Sperry Jr O.d. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK N SPERRY JR O.D. PA (NPI 1609145507) is a healthcare organization registered as an optometrist in Tavares, Florida and active in the NPI registry since December 2011. The organization lists Jack N Sperry, President, as its authorized official.

NPPES Registry Identity

NPI1609145507
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJACK N SPERRY JR O.D. PA
Location Address720 LAKE DORA DRTavares, FL 32778-3314
Mailing Address720 Lake Dora DrTavares, FL 32778-3314 · (352) 551-5612
Organization SubpartNo
Authorized OfficialJack N SperryPresident · (352) 551-5612
Enumeration DateDecember 21, 2011
Last NPPES UpdateNovember 5, 2012
NPI 1609145507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC2330
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
720 LAKE DORA DR, Tavares, FL 32778

Other Identifiers 2

Other20357FL · Medicare Provider
Medicaid078942900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack N Sperry Jr O.D. PA's NPI number?

The NPI number for Jack N Sperry Jr O.D. PA is 1609145507. It was assigned to this organization in the NPPES registry on December 21, 2011.

Where is Jack N Sperry Jr O.D. PA located?

Jack N Sperry Jr O.D. PA is located at 720 Lake Dora Dr, Tavares, FL 32778. The listed phone number is (352) 551-5612.

What is Jack N Sperry Jr O.D. PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jack N Sperry Jr O.D. PA was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.