NPIMap

Organization Active NPI

Antonio Prado MD PA

Doing business as Cataract & Laser Institute of Brandon

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1376840942
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ANTONIO PRADO MD PA
Doing business as
Cataract & Laser Institute of Brandon
Practice address
7522 N Himes Ave
Tampa, FL 33614-3205
Phone
(813) 931-0500
Fax
(813) 936-2805
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

7522 N Himes Ave
Tampa, FL 33614-3205

Mailing address

206 Buckingham PL
Suite 102
Brandon, FL 33511-4910
Phone (813) 653-2020

Other identifiers 2

IdentifierTypeStateIssuer
277042301MedicaidFL
99062AOtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Other names 1

  • Cataract & Laser Institute of Brandon Doing business as

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

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1376840942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BUCKINGHAM PL",
            "address_2": "SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114910",
            "telephone_number": "813-653-2020",
            "fax_number": "813-653-2205"
        },
        {
            "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",
            "fax_number": "813-936-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO PRADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-931-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277042301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "99062A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract & Laser Institute of Brandon",
            "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 Feb 17, 2011; 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.