Organization Active NPI

Tully C. Patrowicz MD,PL

  • Ophthalmologic Surgery Clinic/Center
  • The Villages, FL
National Provider Identifier
1710128459
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
ME14662 Issued in FL
Legal business name
TULLY C. PATROWICZ MD,PL
Practice address
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Phone
(352) 674-5000
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Tully Colcord Patrowicz, M.D.
Title
Sole Proprietor - Ophthalmologist
Phone
(352) 357-3851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X ME14662 FL Primary

Addresses

Primary practice location

8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884

Mailing address

8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Phone (352) 357-3851

National Provider Directory

National Provider Directory

Locations

2405 CR 526E
Sumterville, FL 33585
Phone (352) 793-2512

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1710128459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625884",
            "telephone_number": "352-357-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625884",
            "telephone_number": "352-674-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLY C. PATROWICZ MD,PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "PATROWICZ",
        "authorized_official_first_name": "TULLY",
        "authorized_official_middle_name": "COLCORD",
        "authorized_official_title_or_position": "SOLE PROPRIETOR - OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "352-357-3851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "FL",
            "license": "ME14662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.