NPIMap

Organization Active NPI

Mobile Optix PLLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1346809480
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOBILE OPTIX PLLC
Practice address
442 W Kennedy Blvd Ste 320
Tampa, FL 33606-1411
Phone
(813) 708-1289
Fax
(813) 708-5513
NPI assigned
Jun 12, 2019
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Gisela M Torres
Title
Revenue Cycle Manager
Phone
(813) 708-1289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

442 W Kennedy Blvd Ste 320
Tampa, FL 33606-1411

Mailing address

442 W Kennedy Blvd Ste 320
Tampa, FL 33606-1411
Phone (813) 708-1289

National Provider Directory

National Provider Directory

Locations

442 W Kennedy Blvd
Ste 320
Tampa, FL 33606
Phone (813) 965-4675

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1346809480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061411",
            "telephone_number": "813-708-1289",
            "fax_number": "813-708-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061411",
            "telephone_number": "813-708-1289",
            "fax_number": "813-708-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE OPTIX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GISELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "813-708-1289"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2023; 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.