Pediatric Ophthalmology of Tampa

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PEDIATRIC OPHTHALMOLOGY OF TAMPA

Practice address

3115 W Swann Ave
Tampa, FL 33609-4617

Phone

(813) 879-7711

Fax

(813) 414-0768

NPI assigned

Jun 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Paula M. Callahan

Title

Administrator

Phone

(813) 879-7711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730383845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094617",
            "telephone_number": "813-879-7711",
            "fax_number": "813-414-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094617",
            "telephone_number": "813-879-7711",
            "fax_number": "813-414-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY OF TAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-879-7711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Pulmonary Specialists PA
• Pediatric Surgery Centers, LLC
• Pediatric Therapy Associates

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.