NPIMap

Organization Active NPI

Central Florida Eye Care Assoicates, Inc.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1285965277
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4262 Issued in FL
Legal business name
CENTRAL FLORIDA EYE CARE ASSOICATES, INC.
Practice address
1815 E. Fowler Ave.
Tampa, FL 33612
Phone
(813) 979-2929
Fax
(813) 979-9479
NPI assigned
Jan 15, 2010
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Ruben E. Carlson, O.D.NPI 1881658565
Title
Owner
Phone
(813) 979-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Optometrist 152W00000X OPC4262 FL Primary

Addresses

Primary practice location

1815 E. Fowler Ave.
Tampa, FL 33612

Mailing address

1815 E. Fowler Ave.
Tampa, FL 33612
Phone (813) 979-2929

Other identifiers 1

IdentifierTypeStateIssuer
GROUP002126700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1815 E Fowler Ave
Tampa, FL 33612
Phone (813) 979-2929

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1285965277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E. FOWLER AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-979-2929",
            "fax_number": "813-979-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E. FOWLER AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-979-2929",
            "fax_number": "813-979-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA EYE CARE ASSOICATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-979-2929",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP002126700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.