Organization Active NPI

Beyond 2020 Vision Specialists Wesley Chapel

  • Optometrist
  • Wesley Chapel, FL
National Provider Identifier
1730905951
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BEYOND 2020 VISION SPECIALISTS WESLEY CHAPEL
Practice address
28150 Willet Way
Wesley Chapel, FL 33543-5482
Phone
(813) 907-3126
Fax
(813) 907-2845
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Christopher TumoloNPI 1497381057
Title
OD
Phone
(813) 926-5993

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

28150 Willet Way
Wesley Chapel, FL 33543-5482

Mailing address

16230 State Road 54
Odessa, FL 33556-3729
Phone (813) 926-5993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241223002055 FL Part B Supplier - Clinic/Group Practice 5991232415 Receives reassigned benefits from 3 practitioners
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

28150 Willet Way
Wesley Chapel, FL 33543
Phone (813) 907-2844

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1730905951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16230 STATE ROAD 54",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563729",
            "telephone_number": "813-926-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28150 WILLET WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435482",
            "telephone_number": "813-907-3126",
            "fax_number": "813-907-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND 2020 VISION SPECIALISTS WESLEY CHAPEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "TUMOLO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "813-926-5993"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.