Tracey L Lewis, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME109860 Issued in FL

Practice address

442 W Kennedy Blvd Ste 280
Tampa, FL 33606-1464

Phone

(813) 467-6111

Fax

(813) 467-6013

NPI assigned

Aug 16, 2005

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OphthalmologyAlso: Optometry

Education

Rutgers New Jersey Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Surgical Mobile Eye Care LLCGroup PAC ID 5698039279, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

84.52

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlewis@asmec.eyefinity-direct.com

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.

• Advanced Surgical Mobile Eye Care LLC

  • Ophthalmology Physician
  • Ruskin, FL
  • NPI 1821597147
  Medicare reassignment Care Compare group NPD
• West Coast Mobile Eye Care, Inc

  • Optometrist
  • Ruskin, FL
  • NPI 1205908530
  Medicare reassignment NPD
• Sr Medical Associates LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1154913523
  NPD
• Monmouth Eye Center LLC

  dba Monmouth Eye Care

  • Ophthalmology Physician
  • Tinton Falls, NJ
  • NPI 1144172180
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1285626291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061464",
            "telephone_number": "813-906-1755",
            "fax_number": "813-467-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061464",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 Bichara Blvd",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321597714",
            "country_code": "US",
            "telephone_number": "352-753-9888",
            "fax_number": "352-751-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TRACEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GE491Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-GROUP",
            "identifier": "K1033A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynne Lewis, RD
• Shirell Erica Lewis
• Stephanie Lorraine Chen Lewis, MD
• Stephanie Wickham Lewis, PT, DPT, OCS
• Theresa Lyvette Lewis, LMHC
• Wylordean S Lewis, CDA
• Nahomi Ley Medina
• Lydia Hope Ley, LPN
• Leycare Residential Services
• Dania Leyva Diaz

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.