Individual provider Active NPI

Victoria Colasurdo Tarbutton, O.D.

  • Optometrist
  • Wesley Chapel, FL
National Provider Identifier
1245645498
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4944 Issued in FL
Practice address
28330 Paseo Dr Ste 180
Wesley Chapel, FL 33543-5412
Phone
(813) 994-4867
Fax
(813) 994-4137
NPI assigned
Jun 26, 2014
Last updated
Jan 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4944 FL Primary

Addresses

Primary practice location

28330 Paseo Dr Ste 180
Wesley Chapel, FL 33543-5412

Mailing address

8421 Edgewater Place Blvd
Tampa, FL 33615-1389
Phone (727) 534-0710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830001037 FL Practitioner - Optometry 1052661782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Eye Center PAGroup PAC ID 4789777087, 6 clinicians
Pinellas Eye Care PAGroup PAC ID 3577743996, 11 clinicians

Practice addresses (Care Compare)

14003 Lakeshore Blvd
Hudson, FL 34667-7124
Phone (727) 868-9442

6036 Park Blvd N
Gulfcoast Eye Care
Pinellas Park, FL 33781-3228
Phone (727) 549-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4944FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
True Eye Experts West Palm LLC Optometrist CurrentSince Sep 12, 2021 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Suncoast Eye Center PA CurrentSince Nov 1, 2023 Accepting new patients
Suncoast Eye Center PA CurrentSince Nov 1, 2023 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients

Locations

221 NE US Highway 19
Crystal River, FL 34429
Phone (352) 795-2526

14003 Lakeshore Blvd
Hudson, FL 34667
Phone (727) 868-9442

14003 Lakeshore Blvd
#I
Hudson, FL 34667

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

19070 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 632-2020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1245645498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 EDGEWATER PLACE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151389",
            "telephone_number": "727-534-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28330 PASEO DR STE 180",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435412",
            "telephone_number": "813-994-4867",
            "fax_number": "813-994-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBUTTON",
        "first_name": "VICTORIA",
        "middle_name": "COLASURDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.