Tampa Lighthouse for the Blind

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP-0001955 Issued in FL

Legal business name

TAMPA LIGHTHOUSE FOR THE BLIND

Practice address

1106 W Platt St
Tampa, FL 33606-2142

Phone

(813) 251-2407

Fax

(813) 254-4305

NPI assigned

Oct 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheryl K Brown

Title

Rehabilitation Services Manager

Phone

(813) 251-2407

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Nicholas Anderson, O.D.

  • Optometrist
  • Clearwater, FL
  • NPI 1689909442
  NPD (past)
• Guy Timothy Petito, O.D.

  • Optometrist
  • St Petersburg, FL
  • NPI 1629004999
  NPD (past)
• Valarie Simpson Jerome, O.D.

  • Optometrist
  • Richmond, VA
  • NPI 1265437164
  NPD (past)

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356431662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062142",
            "telephone_number": "813-251-2407",
            "fax_number": "813-254-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062142",
            "telephone_number": "813-251-2407",
            "fax_number": "813-254-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA LIGHTHOUSE FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "REHABILITATION SERVICES MANAGER",
        "authorized_official_telephone_number": "813-251-2407"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP-0001955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Kids Therapy, LLC
• Tampa LCSW Supervision, LLC (Tampa Bay Counseling and Supervision Group)
• Tampa Life Change
• Tampa Life Counseling, LLC
• Tampa Life Counseling, LLC
• Tampa Lighthouse for the Blind Inc.
• Tampa Long Term Care Pharmacy LLC (Meds To Home)
• Tampa Lung Specialists, P.a.
• Tampa Luxury Transportation Services, LLC
• Tampa Massage Rehab Services

• 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 Aug 22, 2020; 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.