Bloomingdale Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0002917 Issued in FL

Legal business name

BLOOMINGDALE EYE CARE INC

Practice address

407 W Bloomingdale Ave
Brandon, FL 33511-7401

Phone

(813) 655-9710

NPI assigned

Jul 28, 2009

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Simeon, ODNPI 1467501833

Title

Owner

Phone

(813) 655-9710

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Diana Lee Simeon, O.D.

  • Optometrist
  • Brandon, FL
  • NPI 1467501833
  Medicare reassignment Care Compare group NPD Authorized official
• Ronald Henry Simeon, O.D.

  • Optometrist
  • Brandon, FL
  • NPI 1720137193
  Medicare reassignment Care Compare group NPD
• Ronald Seaman, M.D.

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1750369229
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1487885257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-655-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-655-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "SIMEON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-655-9710",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002680",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Blesie
• Anna Veldkamp Blevins
• Holly Blickenstaff, PA-C
• Wayne S. Blocker, M.D.
• Kaylin Bloomer
• Bloomingdale Radiology Corp (Bloomingdale Radiology Center)
• Shawn Blouin, DNP, ARNP, AGACNP-BC
• Christopher Blount
• Kristina V Blum, PHARM.D
• Jason Brian Blundell, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.