Brandon Eye Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRANDON EYE ASSOCIATES PA

Practice address

779 Cortaro Dr
Sun City Center, FL 33573-6812

Phone

(813) 213-0020

Fax

(813) 642-7357

NPI assigned

Feb 28, 2022

Organization subpart

Yes

Parent organization

BRANDON EYE ASSOCIATES PAAs reported in NPPES

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

Authorized official

Name

Michelle Fleshner

Title

Practice Administrator

Phone

(813) 684-2211

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Brandon Eye Associates PA2 organizations share this tax ID, including this one

Part of

Brandon Eye Associates PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brandon Eye Associates PA

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1215969357
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brandon Eye Associates PA

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1215969357
  NPPES parent name

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1215683206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-655-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-213-0020",
            "fax_number": "813-642-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON EYE ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRANDON EYE ASSOCIATES PA",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "FLESHNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-684-2211"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256356803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Bonacci, PT, DPT
• Michael James Boully Jr., P.T.
• Christina Bowens, APRN
• Angelita Bowers
• Sarah Bowers, OT, CHT
• Paul A. Breault, O.D.
• Lisa Brewer
• Cameron Brooks
• Brown Staffing Solutions LLC
• Kelsey A Bryant, PT, DPT

• Ophthalmology Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.