NPIMap

Organization Active NPI

Capstone Eye Care Group of Florida LLC

Doing business as Pearle Vision - S Tampa

  • Eyewear Supplier
  • Tampa, FL
National Provider Identifier
1326563362
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CAPSTONE EYE CARE GROUP OF FLORIDA LLC
Doing business as
Pearle Vision - S Tampa
Practice address
3708 Henderson Blvd
Tampa, FL 33609-4504
Phone
(727) 317-6174
NPI assigned
Aug 10, 2017
Last updated
Aug 10, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPSTONE EYE CARE GROUP OF FLORIDA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Jeff Butcher, OD
Title
Member
Phone
(727) 317-6174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

3708 Henderson Blvd
Tampa, FL 33609-4504

Mailing address

510 E Memorial Rd Ste A4
Oklahoma City, OK 73114-2218

Other names 1

  • Pearle Vision - S Tampa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capstone Eye Care Group of Florida LLC3 organizations share this tax ID, including this one
Part of
Capstone Eye Care Group of Florida LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1326563362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MEMORIAL RD STE A4",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094504",
            "telephone_number": "727-317-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE EYE CARE GROUP OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPSTONE EYE CARE GROUP OF FLORIDA LLC",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "727-317-6174",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision - S Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2017; 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.