Organization Active NPI

Prado Vision Lasik Center LLC

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1568588705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME64750 Issued in FL
Legal business name
PRADO VISION LASIK CENTER LLC
Practice address
7522 N Himes Ave
Tampa, FL 33614-3205
Phone
(813) 931-0500
Fax
(813) 936-2805
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Antonio Prado, M.D.
Title
Owner
Phone
(813) 931-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME64750 FL Primary

Addresses

Primary practice location

7522 N Himes Ave
Tampa, FL 33614-3205

Mailing address

7522 N Himes Ave
Tampa, FL 33614-3205
Phone (813) 931-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568588705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500",
            "fax_number": "813-936-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143205",
            "telephone_number": "813-931-0500",
            "fax_number": "813-936-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADO VISION LASIK CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-931-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME64750",
            "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 Aug 22, 2020; 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.