NPIMap

Organization Active NPI

Countryway Eyecare

  • Optometrist
  • Tampa, FL
National Provider Identifier
1629493887
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP3810 Issued in FL
Legal business name
COUNTRYWAY EYECARE
Practice address
6911 Pistol Range Rd
Tampa, FL 33635-6335
Phone
(813) 925-3393
Fax
(813) 925-3394
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Tara Rusoff, O.D.
Title
Pres
Phone
(813) 925-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP3810 FL Primary

Addresses

Primary practice location

6911 Pistol Range Rd
Tampa, FL 33635-6335

Mailing address

6911 Pistol Range Rd
Tampa, FL 33635-6335
Phone (813) 925-3393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1629493887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 PISTOL RANGE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356335",
            "telephone_number": "813-925-3393",
            "fax_number": "813-925-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 PISTOL RANGE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336356335",
            "telephone_number": "813-925-3393",
            "fax_number": "813-925-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYWAY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "RUSOFF",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "813-925-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP3810",
            "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 Feb 25, 2014; 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.