Organization Active NPI

Bernatsky and Wilson, O.D., P.a.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1114219748
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BERNATSKY AND WILSON, O.D., P.A.
Practice address
700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone
(813) 877-4935
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Mark Wilson, O.D.
Title
Optometrist
Phone
(813) 977-3862

Specialties & licenses 1

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

Addresses

Primary practice location

700 S Dale Mabry Hwy
Tampa, FL 33609-4409

Mailing address

700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone (813) 877-4935

National Provider Directory

National Provider Directory

Locations

700 S Dale Mabry Hwy
Tampa, FL 33609
Phone (813) 872-8587

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1114219748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNATSKY AND WILSON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "813-977-3862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 May 16, 2011; 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.