NPIMap

Organization Active NPI

Antonio Prado MD PA

Doing business as Prado Vision Center

  • Optometrist
  • Tampa, FL
National Provider Identifier
1376675454
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANTONIO PRADO MD PA
Doing business as
Prado Vision Center
Practice address
7522 N Himes Ave
Tampa, FL 33614-3205
Phone
(813) 931-0500
NPI assigned
Mar 12, 2007
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Antonio Prado, MDNPI 1790783769
Title
President Ceo
Phone
(813) 931-0500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME64750 FL
Eyewear Supplier 332H00000X

Addresses

Primary practice location

7522 N Himes Ave
Tampa, FL 33614-3205

Mailing address

7522 N Himes Ave
Tampa, FL 33614-3205
Phone (813) 931-0500

Other identifiers 2

IdentifierTypeStateIssuer
277042300MedicaidFL
99062OtherFLBLUE CROSS BLUE SHIELD FL

Other names 1

  • Prado Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000626 FL Part B Supplier - Clinic/Group Practice 3072612506 Receives reassigned benefits from 11 practitioners
Practice locations: Brandon, FL; Tampa, FL

National Provider Directory

National Provider Directory
Tax ID family
Antonio Prado MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7524 N Himes Ave
Tampa, FL 33614
Phone (813) 514-8338

Interoperability endpoints

  • Direct secure messaging: astelzer@pradovision.intellechartdirect.net
  • Direct secure messaging: bshaukat@pradovision.intellechartdirect.net
  • Direct secure messaging: dprado@pradovision.intellechartdirect.net
  • Direct secure messaging: facosta@pradovision.intellechartdirect.net
  • Direct secure messaging: jmccann@pradovision.intellechartdirect.net
  • Direct secure messaging: malcantara@pradovision.intellechartdirect.net
  • Direct secure messaging: mpetit@pradovision.intellechartdirect.net
  • Direct secure messaging: pcuva@pradovision.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1376675454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO PRADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "813-931-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME64750",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277042300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "99062",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prado Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prado Vision Center",
            "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 Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.