Organization Active NPI

Beyond 2020 Vision Specialists LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1003561283
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BEYOND 2020 VISION SPECIALISTS LLC
Practice address
7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178
Phone
(813) 920-3712
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Tumolo, ODNPI 1497381057
Title
Optometrist/Owner
Phone
(727) 657-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7802 Citrus Park Town Center Mall
Tampa, FL 33625-3178

Mailing address

16230 State Road 54
Odessa, FL 33556-3729
Phone (813) 926-5993

Other practice location 1

343 Westshore Plz
Tampa, FL 33609-1812
Phone (813) 286-8400

Other practice location 2

8712 W Linebaugh Ave
Tampa, FL 33625-3713
Phone (813) 616-7016

Other practice location 3

16230 State Road 54
Odessa, FL 33556-3729
Phone (813) 926-5993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831003395 FL Part B Supplier - Clinic/Group Practice 5294119731 Receives reassigned benefits from 6 practitioners
Practice locations: Tampa, FL; Odessa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1003561283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16230 STATE ROAD 54",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563729",
            "telephone_number": "813-926-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 CITRUS PARK TOWN CENTER MALL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253178",
            "telephone_number": "813-920-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 Westshore Plz",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091812",
            "country_code": "US",
            "telephone_number": "813-286-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8712 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336253713",
            "country_code": "US",
            "telephone_number": "813-616-7016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16230 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563729",
            "country_code": "US",
            "telephone_number": "813-926-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEYOND 2020 VISION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "TUMOLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "727-657-8830",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.