Tara Koza Camargo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4723 Issued in FL

Practice address

11212 Park Blvd
Vision Works
Seminole, FL 33774

Phone

(727) 397-8994

NPI assigned

Aug 29, 2012

Last updated

May 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Petersburg Eye Care Specialists P.a.

  • Optometrist
  • St Petersburg, FL
  • NPI 1568865038
  Medicare reassignment Authorized official
• Joel Marantz, OD,PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1194885632
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1467701086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051501",
            "telephone_number": "727-898-3155",
            "fax_number": "727-821-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 PARK BLVD",
            "address_2": "VISION WORKS",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33774",
            "telephone_number": "727-397-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "TARA",
        "middle_name": "KOZA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward B Busch, DMD
• Randal Lee Butch, DC
• Blair Cacciamani
• Sachell Calderon
• Ashley Caliri, BCBA
• Noelle Campbell, APRN
• Julianna Capobianco
• Capstone Eye Care Group of Florida LLC
• Jade Luciana Carbonelli, PA-C
• Carlos E Cardenas Peralta, DMD

• Optometrist in Seminole, FL
• Providers in Seminole, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.