Individual provider Active NPI

Victor Martinez Garcia, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1528639770
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5962 Issued in FL
Practice address
14901 N Dale Mabry Hwy
Tampa, FL 33618-1801
Phone
(813) 960-8318
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5962 FL Primary

Addresses

Primary practice location

14901 N Dale Mabry Hwy
Tampa, FL 33618-1801

Mailing address

3206 Ramblewood Dr N # 18D4
Sarasota, FL 34237-3812
Phone (194) 158-6121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210803001173 FL Practitioner - Optometry 7810391521 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Sep 8, 2021 Accepting new patients
Treyefecta Vision Holdings, LLC Optometrist CurrentSince Jul 16, 2021 Accepting new patients
In Focus Eye Care LLC Optometrist Current Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

14901 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 960-8318

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1528639770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 RAMBLEWOOD DR N # 18D4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373812",
            "telephone_number": "194-158-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181801",
            "telephone_number": "813-960-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GARCIA",
        "first_name": "VICTOR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.