Organization Active NPI

Apex Vision, Inc

  • Medical Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1235787441
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Aug 30, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
FL3906OtherFLOPTOMETRY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.