Active NPI
Walesby Vision Center P a
- Vision Therapy Optometrist
- Oldsmar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- Legal business name
- WALESBY VISION CENTER P A
- Practice address
- 253 Pine Ave N Unit B
Oldsmar, FL 34677-4630 - Phone
- (813) 915-0755
- Fax
- (813) 915-0704
- NPI assigned
- Nov 8, 2011
- Last updated
- Nov 21, 2024
- 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. Nicholas Thomas, OD
- Title
- Owner/President
- Phone
- (813) 915-0755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | Primary |
Addresses
Primary practice location
253 Pine Ave N Unit B
Oldsmar, FL 34677-4630
Mailing address
253 Pine Ave N Unit B
Oldsmar, FL 34677-4630
Phone (813) 915-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084909000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Walesby Vision Center P a
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vision Therapy Optometrist
- Lutz, FL
- NPI 1528423779
Locations
24444 State Road 54
Lutz, FL 33559
Phone (813) 345-8544
253 Pine Ave N
#B
Oldsmar, FL 34677
Phone (813) 915-0755
2510 W Waters Ave
Tampa, FL 33614
Phone (813) 915-0755
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Lutz, FL
- NPI 1700970522
-
- Vision Therapy Optometrist
- Tampa, FL
- NPI 1548270044
-
- Vision Therapy Optometrist
- Tampa, FL
- NPI 1043449432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1265719066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 PINE AVE N UNIT B",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346774630",
"telephone_number": "813-915-0755",
"fax_number": "813-915-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 PINE AVE N UNIT B",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346774630",
"telephone_number": "813-915-0755",
"fax_number": "813-915-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALESBY VISION CENTER P A",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "813-915-0755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084909000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.