NPIMap

Organization Active NPI

Maximods LLC

  • Optometrist
  • Valrico, FL
National Provider Identifier
1376248344
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAXIMODS LLC
Practice address
2615 E State Road 60
Valrico, FL 33594-3800
Phone
(813) 662-2200
Fax
(813) 662-2140
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Dr. Ronald Pierce, ODNPI 1346368768
Title
MGR
Phone
(813) 622-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2615 E State Road 60
Valrico, FL 33594-3800

Mailing address

2615 E State Road 60
Valrico, FL 33594-3800
Phone (813) 662-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1376248344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943800",
            "telephone_number": "813-662-2200",
            "fax_number": "813-662-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943800",
            "telephone_number": "813-662-2200",
            "fax_number": "813-662-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-622-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.