Organization Active NPI

Gracefuleye Care LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1023883360
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GRACEFULEYE CARE LLC
Practice address
3031 W Spruce St
Tampa, FL 33607-3233
Phone
(954) 706-2945
NPI assigned
Nov 16, 2023
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Carlos Naguib, ODNPI 1003475096
Title
Sole Member
Phone
(954) 706-2945

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

3031 W Spruce St
Tampa, FL 33607-3233

Mailing address

3031 W Spruce St
Tampa, FL 33607-3233
Phone (954) 706-2945

National Provider Directory

National Provider Directory

Locations

2001 E Fowler Ave
Tampa, FL 33612
Phone (813) 972-3465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1023883360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W SPRUCE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073233",
            "telephone_number": "954-706-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W SPRUCE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073233",
            "telephone_number": "954-706-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULEYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "NAGUIB",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "954-706-2945",
        "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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.