MR. MAX ANTHONY CASTRO


Address: 4602 N Armenia, Suite A-1, Tampa, FL 33603-2625
Phone: 8138755480

MR. MAX ANTHONY CASTRO (NPI# 1659472587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659472587
Entity Type Individual
Full Name MR. MAX ANTHONY CASTRO
Credential OPTICIAN
Practice Address 4602 N Armenia
Suite A-1
Tampa
FL 33603-2625
Mailing Address 4602 N Armenia A-1
Tampa
FL 33603-2625
Practice Telephone 8138755480
Practice Fax Number 8138755480
Mailing Telephone 8138755480
Mailing Fax Number 8138755480
Enumeration Date 2006-09-25
Last Update Date 2011-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
891 FL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 086031000 05

Office Location

Street Address 4602 N ARMENIA
SUITE A-1
City TAMPA
State FL
Zip Code 33603-2625

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326566514 Nationwide Vision Center, Inc. Technician/Technologist 8102 Citrus Park Town Center Mall, Inside Jcpenney, Tampa, FL 33625-3181 2017-09-07
1700318045 National Vision, Inc Technician/Technologist 1541 S Dale Mabry Hwy, Tampa, FL 33629-5808 2017-03-28
1447316146 Britton Plaza Vision Center Technician/Technologist 3802 Britton Plz # A, Tampa, FL 33611-1406 2006-12-28
1326130519 Wal-mart Stores East, Lp Technician/Technologist 8550 N Dale Mabry Hwy, Tampa, FL 33614-1646 2006-09-28
1508335357 Louis T Perez Technician/Technologist 4040 W Waters Ave, Tampa, FL 33614-1958 2018-11-21
1881118339 Nationwide Vision Center, LLC Technician/Technologist 13141 N Dale Mabry Hwy Ste D&e, Tampa, FL 33618-2443 2017-07-26
1790230928 Sara Rosen Technician/Technologist 912 Channelside Dr, Suite 2102, Tampa, FL 33602-4229 2016-08-17
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City TAMPA
Zip Code 33603

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Dataset Information

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.

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