Active NPI
Apex Vision, Inc
- Medical Specialty Clinic/Center
- Tampa, FL
National Provider Identifier
1235787441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- APEX VISION, INC
- Practice address
- 15302 N Nebraska Ave
Tampa, FL 33613-1448 - Phone
- (813) 371-9020
- NPI assigned
- Aug 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luc E Kanicky, OD
- Title
- Optometrist
- Phone
- (813) 495-5116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
15302 N Nebraska Ave
Tampa, FL 33613-1448
Mailing address
3249 Stonegate Falls Dr
Land O Lakes, FL 34638-6195
Phone (813) 495-8883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL3906 | Other | FL | OPTOMETRY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer |
National Provider Directory
National Provider DirectoryLocations
15302 N Nebraska Ave
Tampa, FL 33613
Phone (813) 371-0375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Land O Lakes, FL
- NPI 1245296599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567123200000",
"number": "1235787441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 STONEGATE FALLS DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386195",
"telephone_number": "813-495-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15302 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131448",
"telephone_number": "813-371-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX VISION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A",
"authorized_official_last_name": "KANICKY",
"authorized_official_first_name": "LUC",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "813-495-5116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY",
"identifier": "FL3906",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "computer",
"affiliation": "N",
"address_1": "15302 N Nebraska Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336131448",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.