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

Organization subpart

No

Name

Dr. Kevin G Brooks, ODNPI 1417036260

Title

President

Phone

(239) 896-0046

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

• Dana Marie Kimberly Adonis, OD

  • Optometrist
  • Riverview, FL
  • NPI 1487346813

  FL

  Medicare reassignment Care Compare group NPD
• Patricia Lynn Bailey, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1942351218

  FL

  Medicare reassignment Care Compare group NPD
• Morgan Champagne, OD

  • Optometrist
  • Naples, FL
  • NPI 1184301319

  FL

  Medicare reassignment Care Compare group NPD
• Parnell J Crump Jr., OD

  • Optometrist
  • Bradenton, FL
  • NPI 1275732836

  FL

  Medicare reassignment Care Compare group NPD
• Kevin Dean, OD

  • Optometrist
  • Davie, FL
  • NPI 1568199727

  FL

  Medicare reassignment Care Compare group NPD
• Natasha V. Gaukhshteyn, O.D.

  • Optometrist
  • Palm Harbor, FL
  • NPI 1376683623

  FL

  Medicare reassignment Care Compare group NPD
• Ben Victor Graham, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1558497669

  FL

  Medicare reassignment Care Compare group NPD
• Kerri-Ann Thomas Hart, O.D.

  • Optometrist
  • Fort Myers Beach, FL
  • NPI 1447402722

  FL

  Medicare reassignment Care Compare group NPD
• Meghan Loher, O.D.

  • Optometrist
  • St Petersburg, FL
  • NPI 1962884684

  FL

  Medicare reassignment Care Compare group NPD
• Andrew James Nagy, OD

  • Optometrist
  • Palm Springs, FL
  • NPI 1932878691

  FL

  Medicare reassignment Care Compare group NPD
• Donald Ragan Jr., O.D.

  • Optometrist
  • Leesburg, FL
  • NPI 1457703050

  FL

  Medicare reassignment Care Compare group NPD
• Alexi Vidal Rodriguez, OD

  • Optometrist
  • Venice, FL
  • NPI 1679318257

  FL

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

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

Enrollment records 6

Locations (25 of 66)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2019.

{
    "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
• Gulf Coast Rehabilitation Services, Inc.
• Gulf Coast Sleep Studies & Diagnostic Center,LLC
• Gulf Coast Transportation
• Gulf Grove Therapy
• Gulf Home Care LLC

• All providers in Tampa, FL
• 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.