NPIMap

Organization Active NPI

Tampa Bay Optometric Group PA

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1760549653
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TAMPA BAY OPTOMETRIC GROUP PA
Practice address
30715 US Highway 19 N
Palm Harbor, FL 34684-4400
Phone
(727) 785-8645
NPI assigned
Jan 2, 2007
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Mr. Gregory Engel
Title
Director of Administration
Phone
(727) 361-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

30715 US Highway 19 N
Palm Harbor, FL 34684-4400

Mailing address

PO Box 40510
St Petersburg, FL 33743-0510
Phone (727) 361-0431

National Provider Directory

National Provider Directory
Tax ID family
Tampa Bay Optometric Group PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1760549653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40510",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430510",
            "telephone_number": "727-361-0431",
            "fax_number": "727-344-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844400",
            "telephone_number": "727-785-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY OPTOMETRIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "727-361-0431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.