Active NPI
Strabismus Surgeons of Tampa LLC
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Tampa, FL
National Provider Identifier
1588557458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Legal business name
- STRABISMUS SURGEONS OF TAMPA LLC
- Practice address
- 5420 Webb Rd Ste B2
Tampa, FL 33615-3255 - Phone
- (606) 692-0789
- NPI assigned
- May 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phaedra L Shudra
- Title
- Credentialing and Contracting Speci
- Phone
- (813) 785-4861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | Primary |
Addresses
Primary practice location
5420 Webb Rd Ste B2
Tampa, FL 33615-3255
Mailing address
5420 Webb Rd Ste B2
Tampa, FL 33615-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Kansas City, MO
- NPI 1144296674
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1588557458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 WEBB RD STE B2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 WEBB RD STE B2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153255",
"telephone_number": "606-692-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRABISMUS SURGEONS OF TAMPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "SHUDRA",
"authorized_official_first_name": "PHAEDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING AND CONTRACTING SPECI",
"authorized_official_telephone_number": "813-785-4861"
},
"taxonomies": [
{
"code": "207WX0110X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": null,
"license": null,
"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 May 30, 2025; 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.