Gulf Coast Optometry, PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC 3782 Issued in FL

Legal business name

GULF COAST OPTOMETRY, PA

Practice address

1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507

Phone

(239) 800-1717

Fax

(954) 656-1049

NPI assigned

Dec 15, 2008

Last updated

Oct 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin G Brooks, ODNPI 1417036260

Title

President

Phone

(239) 896-0046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA, IA, OH, TN, IL6 enrollments

Enrollment records 6

Locations (25 of 68)

Practitioners 280

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.

• Dana Marie Kimberly Adonis, OD

  • Optometrist
  • Riverview, FL
  • NPI 1487346813
  Medicare reassignment Care Compare group NPD
• Patricia Lynn Bailey, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1942351218
  Medicare reassignment Care Compare group NPD
• Morgan Champagne, OD

  • Optometrist
  • Naples, FL
  • NPI 1184301319
  Medicare reassignment Care Compare group NPD
• Parnell J Crump Jr., OD

  • Optometrist
  • Bradenton, FL
  • NPI 1275732836
  Medicare reassignment Care Compare group NPD
• Kevin Dean, OD

  • Optometrist
  • Davie, FL
  • NPI 1568199727
  Medicare reassignment Care Compare group NPD
• Natasha V. Gaukhshteyn, O.D.

  • Optometrist
  • Palm Harbor, FL
  • NPI 1376683623
  Medicare reassignment Care Compare group NPD
• Ben Victor Graham, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1558497669
  Medicare reassignment Care Compare group NPD
• Kerri-Ann Thomas Hart, O.D.

  • Optometrist
  • Fort Myers Beach, FL
  • NPI 1447402722
  Medicare reassignment Care Compare group NPD
• Meghan Loher, O.D.

  • Optometrist
  • St Petersburg, FL
  • NPI 1962884684
  Medicare reassignment Care Compare group NPD
• Andrew James Nagy, OD

  • Optometrist
  • Palm Springs, FL
  • NPI 1932878691
  Medicare reassignment Care Compare group NPD
• Donald Ragan Jr., O.D.

  • Optometrist
  • Leesburg, FL
  • NPI 1457703050
  Medicare reassignment Care Compare group NPD
• Alexi Vidal Rodriguez, OD

  • Optometrist
  • Venice, FL
  • NPI 1679318257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1083859409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076507",
            "telephone_number": "239-275-2241",
            "fax_number": "954-656-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076507",
            "telephone_number": "239-800-1717",
            "fax_number": "954-656-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-896-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Family Services
• Gulf Coast Jewish Family Services
• Gulf Coast Nurse Register, LLC (Value Care at Home Tampa)
• Gulf Coast Rehabilitation Services, Inc.
• Gulf Coast Sleep Studies & Diagnostic Center,LLC (Florida Center for Sleep Disorders)
• Gulf Coast Transportation
• Gulf Grove Therapy
• Gulf Home Care LLC

• Corneal and Contact Management Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.