Carrollwood Vision Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CARROLLWOOD VISION CORPORATION

Doing business as

Carrollwood Optical

Practice address

3604 Madaca LN
Tampa, FL 33618-2057

Phone

(813) 962-1006

Fax

(813) 269-0600

NPI assigned

Apr 2, 2008

Organization subpart

Yes

Parent organization

CARROLLWOOD VISION CORPAs reported in NPPES

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

Authorized official

Name

Sylvia C Williams, OD

Title

Co Owner

Phone

(813) 962-1006

Specialties & licenses 1

Addresses

Other names 1

• Carrollwood Optical Doing business as

Part of

Carrollwood Vision Corporation

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1285806984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-962-1006",
            "fax_number": "813-269-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-962-1006",
            "fax_number": "813-269-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLWOOD VISION CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARROLLWOOD VISION CORP",
        "enumeration_date": "2008-04-02",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "813-962-1006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollwood Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrollwood Operations, LLC
• Carrollwood Rehabilitation Center LLC
• Carrollwood Speech and Swallowing Therapy, PLLC
• Carrollwood Surgical Associates
• Carrollwood Village Counseling Associates
• Catherine E Carruthers, M.D.
• Kadir Justin Carruthers, M.D.
• Alexandra Stewart Carson, RMHC
• Alyssa Noelle Carson, PHARMD
• Elizabeth Carson, RBT

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.