Individual provider Active NPI

Brian Tribunella, OD

  • Optometrist
  • Wesley Chapel, FL
National Provider Identifier
1285789156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3768 Issued in FL
Practice address
1201 Bruce B Downs Blvd
Wesley Chapel, FL 33543-9261
Phone
(813) 994-2614
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3768 FL Primary

Addresses

Primary practice location

1201 Bruce B Downs Blvd
Wesley Chapel, FL 33543-9261

Mailing address

2405 Courtney Meadows CT Apt 303
Tampa, FL 33619-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3768FLMDOptometrist
1898GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brian Tribunella and Associates Inc Optometrist Current Accepting new patients
Legacy Family Eyecare Inc Optometrist Past Accepting new patients
Legacy Family Eyecare at Flowery Branch LLC Optometrist Past Accepting new patients

Locations

1201 County Road 581
Wesley Chapel, FL 33544
Phone (813) 907-6682

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285789156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 COURTNEY MEADOWS CT APT 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BRUCE B DOWNS BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335439261",
            "telephone_number": "813-994-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBUNELLA",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.