Active NPI
Brian Tribunella, OD
- Optometrist
- Wesley Chapel, FL
National Provider Identifier
1285789156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3768
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3768 | FL | MD | Optometrist |
| 1898 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Wesley Chapel, FL
- NPI 1063089654
-
- Optometrist
- Flowery Branch, GA
- NPI 1215875802
-
- Optometrist
- Cumming, GA
- NPI 1689958183
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.