NPIMap

Organization Active NPI

Samuel J Teske OD PA

Doing business as The Eye Doctors of New Tampa

  • Optometrist
  • Tampa, FL
National Provider Identifier
1073807962
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3764 Issued in FL
Legal business name
SAMUEL J TESKE OD PA
Doing business as
The Eye Doctors of New Tampa
Practice address
19070 Bruce B Downs Blvd
Tampa, FL 33647-2477
Phone
(813) 632-2020
Fax
(813) 631-9802
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Samuel Teske, O.D.NPI 1215137286
Title
Owner
Phone
(813) 632-2020

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 OPC3764 FL Primary

Addresses

Primary practice location

19070 Bruce B Downs Blvd
Tampa, FL 33647-2477

Mailing address

19070 Bruce B Downs Blvd
Tampa, FL 33647-2477
Phone (813) 632-2020

Other names 1

  • The Eye Doctors of New Tampa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161012002887 FL Part B Supplier - Clinic/Group Practice 2860780574 Receives reassigned benefits from 18 practitioners
Practice locations: Winter Springs, FL; Crystal River, FL; Vero Beach, FL; Trinity, FL; Tampa, FL; North Fort Myers, FL; Apopka, FL; Lutz, FL

National Provider Directory

National Provider Directory

Locations

707 N Citrus Ave
Ste D
Crystal River, FL 34428
Phone (352) 795-2020

23388 State Road 54
Ste 102
Lutz, FL 33549
Phone 81371020206937

23388 State Road 54
Lutz, FL 33549

88 Pine Island Rd
Ste 3
North Ft Myers, FL 33903
Phone (239) 656-1778

19062 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 632-2020

2917 W Kennedy Blvd
Ste 110
Tampa, FL 33609
Phone (813) 871-2020

1340 Tuskawilla Rd
Ste 107
Winter Springs, FL 32708
Phone (407) 699-4000

1340 Tuskawilla Rd
Winter Springs, FL 32708
Phone (407) 629-4444

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1073807962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472477",
            "telephone_number": "813-632-2020",
            "fax_number": "813-631-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19070 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472477",
            "telephone_number": "813-632-2020",
            "fax_number": "813-631-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J TESKE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-632-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Doctors of New Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Doctors of New Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2020; 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.