Organization Active NPI

BW Vision Care PA

  • Vision Therapy Optometrist
  • Tampa, FL
National Provider Identifier
1720102585
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPC 4098 Issued in FL
Legal business name
BW VISION CARE PA
Practice address
9912 W Linebaugh Ave
Tampa, FL 33626-1858
Phone
(813) 792-0637
Fax
(813) 792-0657
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dr. Nathan James Bonilla-Warford, ODNPI 1750341186
Title
President
Phone
(813) 792-0637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X OPC 4098 FL Primary

Addresses

Primary practice location

9912 W Linebaugh Ave
Tampa, FL 33626-1858

Mailing address

9912 W Linebaugh Ave
Tampa, FL 33626-1858
Phone (813) 792-0637

Other names 1

  • Bright Eyes Family Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061220000355 FL Part B Supplier - Clinic/Group Practice 5597764530 Receives reassigned benefits from 5 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Tax ID family
Bright Eyes Family Vision Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11212 Park Blvd
Seminole, FL 33772
Phone (727) 393-1501

8150 Citrus Park Town Center Mall
#1100
Tampa, FL 33625
Phone (813) 920-6718

9912 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 792-0637

10108 Montague St
Tampa, FL 33626
Phone (813) 792-0637

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1720102585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261858",
            "telephone_number": "813-792-0637",
            "fax_number": "813-792-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261858",
            "telephone_number": "813-792-0637",
            "fax_number": "813-792-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW VISION CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BONILLA-WARFORD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-792-0637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC 4098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Eyes Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 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.

Verify at the official NPI Registry.