Treyefecta Vision Holdings, LLC
Organization Active NPI Optometrist · Tampa, FL
NPI 1255707683 · NPPES record last updated Jan 25, 2026
Key facts
- NPI
- 1255707683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4928 (FL)
- Legal business name
- TREYEFECTA VISION HOLDINGS, LLC
- Practice address
- 14901 N Dale Mabry Hwy
Tampa, FL 33618-1801 - Phone
- (813) 960-8958
- NPI assigned
- Aug 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Ravie Makati, O.D.
- Title
- Member
- Phone
- (813) 897-3273
Practitioners 5
-
Jacqueline Lopez, OD
-
Ravie Makati, O.D.
-
Ayeesha Patel, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161005001492 | FL | Part B Supplier - Clinic/Group Practice | 9830487958 |
Receives reassigned benefits from 5 practitioners Practice locations: Tampa, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4928 | FL | Yes |
Addresses
Primary practice location
14901 N Dale Mabry Hwy
Tampa, FL 33618-1801
Mailing address
13502 Greentree Dr
Tampa, FL 33613-4125
Other practice location 1
3062 Dyer Blvd
Kissimmee, FL 34741-7839
Phone (407) 343-7869
Other practice location 2
3311 Daniels Rd Ste 102
Oakland, FL 34787-7000
Phone (407) 635-8380 ext. 64884
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.