Organization Active NPI

The Eye Care Professionals of Tampa Bay

  • Optometrist
  • Lutz, FL
National Provider Identifier
1740416049
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3394 Issued in FL
Legal business name
THE EYE CARE PROFESSIONALS OF TAMPA BAY
Practice address
24412 State Road 54
Lutz, FL 33559
Phone
(813) 949-7274
Fax
(813) 949-2481
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dr. David Franklin Scamard, O.D.
Title
Doctor/Owner
Phone
(813) 949-7274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3394 FL Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

24412 State Road 54
Lutz, FL 33559

Mailing address

24412 State Road 54
Lutz, FL 33559
Phone (813) 949-7274

Other names 1

  • Eyeglass Factory and Showroom Doing business as

National Provider Directory

National Provider Directory

Locations

24412 State Road 54
Lutz, FL 33559
Phone (813) 949-7274

Practitioners & affiliated clinicians

Practitioners 2

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1740416049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24412 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-949-7274",
            "fax_number": "813-949-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24412 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-949-7274",
            "fax_number": "813-949-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CARE PROFESSIONALS OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "SCAMARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "813-949-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3394",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeglass Factory and Showroom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.