Active NPI
BW Vision Care PA
- Vision Therapy Optometrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OPC 4098
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan James Bonilla-Warford, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Tampa, FL
- NPI 1770596611
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.