Tampa Bay Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAMPA BAY OPTICAL INC.

Practice address

4710 N Habana Ave Ste 204
Tampa, FL 33614-7146

Phone

(813) 877-2400

Fax

(813) 877-2402

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rogelio Berdeal Jr., BS OD

Title

President

Phone

(813) 877-2400

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• James L Greco Jr., OD

  • Optometrist
  • Tampa, FL
  • NPI 1215959051
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1154631174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-877-2400",
            "fax_number": "813-877-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-877-2400",
            "fax_number": "813-877-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "BERDEAL",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-877-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BS OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Nephrology Associates P L
• Tampa Bay Neurology and Sleep Medicine, LLC
• Tampa Bay Neurology Inc
• Tampa Bay Oncology-Hematology Associates
• Tampa Bay Open MRI (Tampa)
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Orthopaedic Designs Inc
• Tampa Bay Orthopaedics PA

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.