NPIMap

Organization Active NPI

Advanced Care Eye Center Limited Liability Company

Doing business as Advanced Eyecare Institute

  • Ophthalmology Physician
  • Brandon, FL
National Provider Identifier
1477745552
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME98257 Issued in FL
Legal business name
ADVANCED CARE EYE CENTER LIMITED LIABILITY COMPANY
Doing business as
Advanced Eyecare Institute
Practice address
325 S Parsons Ave
Brandon, FL 33511-5228
Phone
(813) 876-2020
Fax
(813) 385-5008
NPI assigned
Aug 13, 2007
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Dilip Rathinasamy, M.D.NPI 1750594628
Title
Owner
Phone
(813) 878-2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME98257 FL Primary

Addresses

Primary practice location

325 S Parsons Ave
Brandon, FL 33511-5228

Mailing address

307 S Bungalow Park Ave
Unit B
Tampa, FL 33609-3159
Phone (813) 878-2020

Other identifiers 1

IdentifierTypeStateIssuer
000121500MedicaidFL

Other names 1

  • Advanced Eyecare Institute Doing business as

National Provider Directory

National Provider Directory

Locations

325 S Parsons Ave
Brandon, FL 33511
Phone (813) 397-6779

9433 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 876-2020

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1477745552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S BUNGALOW PARK AVE",
            "address_2": "UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093159",
            "telephone_number": "813-878-2020",
            "fax_number": "813-385-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115228",
            "telephone_number": "813-876-2020",
            "fax_number": "813-385-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE EYE CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "RATHINASAMY",
        "authorized_official_first_name": "DILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-878-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME98257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000121500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.