NPIMap

Organization Active NPI

New Tampa Eye Institute LLC

  • Ophthalmology Physician
  • Wesley Chapel, FL
National Provider Identifier
1417228958
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 101846 Issued in FL
Legal business name
NEW TAMPA EYE INSTITUTE LLC
Practice address
27348 Cashford Cir
Wesley Chapel, FL 33544-8198
Phone
(813) 907-7019
NPI assigned
Jan 14, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Gretta Fridman, MDNPI 1699964726
Title
Managing Member
Phone
(813) 907-7019

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
Ophthalmology Physician 207W00000X ME 101846 FL Primary

Addresses

Primary practice location

27348 Cashford Cir
Wesley Chapel, FL 33544-8198

Mailing address

27348 Cashford Cir
Wesley Chapel, FL 33544-8198
Phone (813) 907-7019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000705 FL Part B Supplier - Clinic/Group Practice 2163682360 Receives reassigned benefits from 7 practitioners
Practice locations: Dade City, FL; Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

27356 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 994-7000

Interoperability endpoints

  • Direct secure messaging: dschneider@newtampaeye.intellechartdirect.net
  • Direct secure messaging: omufti@newtampaeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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": "1326499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1417228958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27348 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448198",
            "telephone_number": "813-907-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27348 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448198",
            "telephone_number": "813-907-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "FRIDMAN",
        "authorized_official_first_name": "GRETTA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-907-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 101846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.