Individual provider Active NPI

Dino S Tsilionis, OD

  • Optometrist
  • Brandon, FL
National Provider Identifier
1104699735
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6373 Issued in FL
Practice address
403 Vonderburg Dr
Brandon, FL 33511-5501
Phone
(813) 681-1122
Fax
(813) 684-4924
NPI assigned
Nov 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6373 FL Primary

Addresses

Primary practice location

403 Vonderburg Dr
Brandon, FL 33511-5501

Mailing address

21030 Green Wing CT
Land O Lakes, FL 34637-7441
Phone (727) 946-1579

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtsilionis@floridaeye.intellechartdirect.net Gregory L Henderson MD FACS INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129000126 FL Practitioner - Optometry 9032567219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

13106 Vail Ridge Dr
Riverview, FL 33579-7187
Phone (813) 392-3311

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122

403 Vonderburg Dr
Suite 101
Brandon, FL 33511-5501

612 N US Hwy 41
Florida Eye Specialists and Cataract Institut
Ruskin, FL 33570-3769
Phone (813) 645-3831

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
96.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6373FLMDOptometrist

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Past Accepting new patients
Gregory L Henderson MD Facs Inc Past Accepting new patients

Locations

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Ste 101
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

749 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-7624

2002 S Alexander St
Plant City, FL 33563
Phone (813) 754-3593

6152 Delancey Station St
Ste 101
Riverview, FL 33578
Phone (813) 643-7300

13106 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 392-3311

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

612 N US Highway 41
Ruskin, FL 33570
Phone (813) 645-3831

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

711 S Howard Ave
Ste 120
Tampa, FL 33606
Phone (813) 254-2020

3115 W Swann Ave
Tampa, FL 33609
Phone (813) 492-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dtsilionis@floridaeye.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1104699735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21030 GREEN WING CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377441",
            "telephone_number": "727-946-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSILIONIS",
        "first_name": "DINO",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtsilionis@floridaeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Gregory L Henderson MD FACS INC",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.