Organization Active NPI

Eyecare Associates of Carrollwood PA

  • Optometrist
  • Tampa, FL
National Provider Identifier
1457520975
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3863 Issued in FL
Legal business name
EYECARE ASSOCIATES OF CARROLLWOOD PA
Practice address
11921 N Dale Mabry Hwy
Tampa, FL 33618-3512
Phone
(813) 963-1008
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Sahar Afsordeh, O.D.
Title
Partner
Phone
(727) 586-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3863 FL Primary

Addresses

Primary practice location

11921 N Dale Mabry Hwy
Tampa, FL 33618-3512

Mailing address

10500 Ulmerton Rd
Suite 230
Largo, FL 33771-3544
Phone (727) 586-5888

National Provider Directory

National Provider Directory

Locations

10500 Ulmerton Rd
Ste 230
Largo, FL 33771
Phone (727) 585-8600

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1457520975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD",
            "address_2": "SUITE 230",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713544",
            "telephone_number": "727-586-5888",
            "fax_number": "727-585-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183512",
            "telephone_number": "813-963-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF CARROLLWOOD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "AFSORDEH",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-586-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 2, 2008; 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.