TAMPA BAY OPTOMETRIC GROUP PA (NPI# 1205993003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205993003 |
| Entity Type | Organization |
| Organization Name | TAMPA BAY OPTOMETRIC GROUP PA |
| Practice Address |
11212 Park Blvd Seminole FL 33772-4752 |
| Mailing Address |
Po Box 40510 St Petersburg FL 33743-0510 |
| Practice Telephone | 7273931501 |
| Mailing Telephone | 7273610431 |
| Mailing Fax Number | 7273447952 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | MR. GREGORY ENGEL (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 7273610431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670584 | Tampa Bay Optometric Group Pa | Optometrist | 912 S Missouri Ave, Clearwater, FL 33756-4298 | 2007-01-03 |
| 1316004112 | Tampa Bay Optometric Group Pa | Optometrist | 8150 Citrus Park Town Center Mall # 1100, Tampa, FL 33625-3181 | 2007-01-02 |
| 1992770473 | Tampa Bay Optometric Group Pa | Optometrist | 2143 Tyrone Blvd N, St Petersburg, FL 33710-4023 | 2006-02-20 |
| 1083771596 | Tampa Bay Optometric Group Pa | Optometrist | 2143 Tyrone Blvd N, St Petersburg, FL 33710-4023 | 2007-01-03 |
| 1811054711 | Tampa Bay Optometric Group Pa | Optometrist | 3301 4th St N, St Petersburg, FL 33704-1305 | 2007-01-02 |
| 1336206234 | Tampa Bay Optometric Group Pa | Optometrist | 9644 Scenic Dr, Port Richey, FL 34668-4653 | 2007-01-02 |
| 1497812374 | Tampa Bay Optometric Group Pa | Optometrist | 2001 E Fowler Ave, Tampa, FL 33612-5503 | 2007-01-02 |
| 1275690075 | Tampa Bay Optometric Group Pa | Optometrist | 14901 N Dale Mabry Hwy, Tampa, FL 33618-1801 | 2007-01-02 |
| 1760549653 | Tampa Bay Optometric Group Pa | Optometrist | 30715 Us Highway 19 N, Palm Harbor, FL 34684-4400 | 2007-01-02 |
| Street Address |
11212 PARK BLVD |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031810 | Robert Adolph Flesch | Optometrist | 11212 Park Blvd, Seminole, FL 33772-4752 | 2006-04-09 |
| 1649640905 | Dr. Barry Case LLC | Optometrist | 11212 Park Blvd, Seminole, FL 33772-4752 | 2015-09-30 |
| 1730521055 | Barry Avi Case | Optometrist | 11212 Park Blvd, Seminole, FL 33772 | 2013-07-29 |
| 1467701086 | Tara Koza Camargo | Optometrist | 11212 Park Blvd, Vision Works, Seminole, FL 33774 | 2012-08-29 |
| 1730466707 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 11212 Park Blvd, Seminole, FL 33772-4752 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527276 | Dane Andrew Kuplicki | Optometrist | 14194 84th Terrace North, Seminole, FL 33776 | 2017-06-08 |
| 1184174278 | Eye Doctors Optical Outlets Pa | Optometrist | 11290 Park Blvd, Ste B, Seminole, FL 33772-4865 | 2016-10-12 |
| 1538447354 | Natalie C Butcher | Optometrist | 7855 113th St Ste A, Seminole, FL 33772-4672 | 2011-07-27 |
| 1063554533 | Truman Mcghee | Optometrist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-02-13 |
| 1467528174 | Barry M. Gootson O.d., P.a. | Optometrist | 9009 Park Boulevard, Seminole, FL 33777-4152 | 2006-11-27 |
| 1245318864 | Seminole Vision Care Inc | Optometrist | 1909 N Milt Phillips Ave, Seminole, OK 74868-2337 | 2006-11-01 |
| 1346262854 | Bryan L Mcray | Optometrist | Bryan L Mcray Od, 1909 N Milt Phillips Ave, Seminole, OK 74868-2337 | 2006-07-24 |
| 1629031810 | Robert Adolph Flesch | Optometrist | 11212 Park Blvd, Seminole, FL 33772-4752 | 2006-04-09 |
| 1154393635 | Claude Daniel Mcmullen | Optometrist | 8982 Seminole Blvd, Seminole, FL 33772-3850 | 2006-02-07 |
| 1992795728 | David Allen Wright | Optometrist | 707 Hobbs Hwy, Seminole, TX 79360-3401 | 2005-10-24 |
| Find all providers in SEMINOLE | ||||
Please comment or provide details below to improve the information on TAMPA BAY OPTOMETRIC GROUP PA.
| 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.