Individual provider Active NPI

Teofil B Kulyk, MD

  • Ophthalmology Physician
  • Plant City, FL
National Provider Identifier
1326065566
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME36487 Issued in FL
Practice address
105 Southern Oaks Dr
Plant City, FL 33563-1451
Phone
(813) 754-1869
Fax
(813) 759-8570
NPI assigned
Jul 16, 2006
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME36487 FL Primary

Addresses

Primary practice location

105 Southern Oaks Dr
Plant City, FL 33563-1451

Mailing address

540 Medical Oaks Ave Ste 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Other identifiers 1

IdentifierTypeStateIssuer
010807000MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120229000863 FL Practitioner - Ophthalmology 8224051743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Eye Associates PAGroup PAC ID 8022067677, 10 clinicians

Practice addresses (Care Compare)

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Eye Associates PA Ophthalmology CurrentSince Apr 30, 2014 Accepting new patients

Locations

540 Medical Oaks Ave
Ste 103
Brandon, FL 33511
Phone (813) 684-2211

105 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 754-1869

1601 W Reynolds St
Ste 100
Plant City, FL 33563
Phone (917) 744-5433

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1326065566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE STE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-655-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTHERN OAKS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631451",
            "telephone_number": "813-754-1869",
            "fax_number": "813-759-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULYK",
        "first_name": "TEOFIL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME36487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010807000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.