Active NPI
Anthony Porco, OD
- Optometrist
- Tampa, FL
National Provider Identifier
1548454515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0000741
- Practice address
- 9359 Wellington Park Cir
Tampa, FL 33647 - Phone
- (813) 973-2100
- Fax
- (813) 653-0323
- NPI assigned
- Aug 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0000741 | FL | Primary |
Addresses
Primary practice location
9359 Wellington Park Cir
Tampa, FL 33647
Mailing address
9359 Wellington Park CR
Tampa, FL 33647
Phone (813) 973-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741 | FL | MD | Oral and Maxillofacial Radiology Dentist |
| OPC0000741 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1548454515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9359 WELLINGTON PARK CR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-973-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9359 WELLINGTON PARK CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-973-2100",
"fax_number": "813-653-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0000741",
"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 Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.