Individual provider Active NPI

Carly Elizabeth Migliorino, OD

  • Optometrist
  • Lutz, FL
National Provider Identifier
1760784102
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4625 Issued in FL
Practice address
2225 Sun Vista Dr
Lutz, FL 33559
Phone
(813) 607-2730
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4830 MA
Optometrist 152W00000X OPC4625 FL Primary

Addresses

Primary practice location

2225 Sun Vista Dr
Lutz, FL 33559

Mailing address

3157 Winglewood Cir
Lutz, FL 33558-5051
Phone (813) 253-9828

Other practice location 1

3157 Winglewood Cir
Lutz, FL 33558-5051
Phone (813) 253-9828

Other practice location 2

2257 Sun Vista Dr
Lutz, FL 33559-6861
Phone (813) 253-9828

Other names 1

  • Carly Elizabeth Migliorino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911003323 FL Practitioner - Optometry 0244580348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

8025 Citrus Park Town Ctr
Tampa, FL 33625-3180
Phone (813) 792-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4625FLMDOptometrist
4830MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 4, 2019 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 4, 2019 Accepting new patients

Locations

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

8025 Citrus Park Town Ctr
Tampa, FL 33625
Phone (813) 792-1628

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: carlymigliorino@direct.eyecare-partners.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1760784102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 WINGLEWOOD CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585051",
            "telephone_number": "813-253-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SUN VISTA DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-607-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3157 Winglewood Cir",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585051",
            "country_code": "US",
            "telephone_number": "813-253-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2257 Sun Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335596861",
            "country_code": "US",
            "telephone_number": "813-253-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGLIORINO",
        "first_name": "CARLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4830",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "MIGLIORINO",
            "middle_name": "ELIZABETH",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.