NPIMap

Organization Active NPI

Healthy Eyes Center LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1104201920
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4991 Issued in FL
Legal business name
HEALTHY EYES CENTER LLC
Practice address
1720 E Hillsborough Ave
Tampa, FL 33610-8234
Phone
(813) 231-8509
Fax
(813) 231-7302
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Phung Ho, OD
Title
Owner
Phone
(813) 231-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC4991 FL Primary

Addresses

Primary practice location

1720 E Hillsborough Ave
Tampa, FL 33610-8234

Mailing address

1720 E Hillsborough Ave
Tampa, FL 33610-8234
Phone (813) 231-8509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1104201920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336108234",
            "telephone_number": "813-231-8509",
            "fax_number": "813-231-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336108234",
            "telephone_number": "813-231-8509",
            "fax_number": "813-231-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "PHUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-231-8509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4991",
            "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 Jul 22, 2015; 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.