Seashore Retina LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME117051 Issued in FL

Legal business name

SEASHORE RETINA LLC

Practice address

11031 US Highway 19
Suite 106
Port Richey, FL 34668-2213

Phone

(216) 235-7061

NPI assigned

May 23, 2014

Last updated

May 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad B Tarabishy, MDNPI 1770629933

Title

Manager

Phone

(216) 235-7061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Ahmad B Tarabishy, MD

  • Ophthalmology Physician
  • Wesley Chapel, FL
  • NPI 1770629933
  Medicare reassignment Care Compare group NPD Authorized official
• Evan Norman Dunn, M.D

  • Ophthalmology Physician
  • Wesley Chapel, FL
  • NPI 1972879484
  Medicare reassignment Care Compare group NPD
• Alexander Julien Schneider, MD

  • Ophthalmology Physician
  • Wesley Chapel, FL
  • NPI 1831583046
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1225440365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 US HIGHWAY 19",
            "address_2": "SUITE 106",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 US HIGHWAY 19",
            "address_2": "SUITE 106",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682213",
            "telephone_number": "216-235-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "TARABISHY",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-235-7061",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME117051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamey Lynn Schreck
• Madison Schwarz
• Scott D. Clough, OD , PA
• Ramonita Anciani Scott, LCSW
• Schanta Scott
• Rebecca Seils
• Seniors and You LLC
• Nina N Shah, DO
• Saurin Shah, M.D
• Shital Shah, O.D.

• Ophthalmology Physician in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.