Tampa Bay Eye and Facial Aesthetics, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC

Practice address

17734 Hunting Bow Cir Ste 102
Lutz, FL 33558-5383

Phone

(813) 550-2020

Fax

(813) 682-2525

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Sara Creekmore, DONPI 1902131170

Title

President

Phone

(276) 285-7098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Sara Jeannette Creekmore, D.O.

  • Ophthalmology Physician
  • Abingdon, VA
  • NPI 1902131170

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1073189692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17734 HUNTING BOW CIR STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585383",
            "telephone_number": "813-550-2020",
            "fax_number": "813-682-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17734 HUNTING BOW CIR STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585383",
            "telephone_number": "813-550-2020",
            "fax_number": "813-682-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "CREEKMORE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-285-7098",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeina Takieddine, M.D.
• Lucerna Tamames, FNP
• Rinat Rene Tamames, FNP
• Tampa Autism Diagnostic Center LLC
• Tampa Bay Emergency Physicians LLC
• Tampa Bay Internal Medicine Inc
• Tampa Bay Lactation
• Tampa Bay Radiology Associates PA
• Tampa Breastfeeding Center
• Tampa Bright Horizons LLC

• Ophthalmology Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.