Advanced Surgical Mobile Eye Care LLC
Organization Active NPI Ophthalmology Physician · Ruskin, FL
NPI 1821597147 · NPPES record last updated Feb 2, 2018
Key facts
- NPI
- 1821597147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- ME109860 (FL)
- Legal business name
- ADVANCED SURGICAL MOBILE EYE CARE LLC
- Practice address
- 25 W College Ave Ste D
Ruskin, FL 33570-4701 - Phone
- (813) 886-2020
- NPI assigned
- Feb 2, 2018
- Organization subpart
- No
Authorized official
- Name
- Sheri Hluhan
- Title
- Practice Manager
- Phone
- (813) 886-2020
Practitioners 11
-
Matthew Lentsch, OD
-
Tracey L Lewis, MD
-
Whitney Luster, O.D.
-
Elyse Michelle Malde, O.D.
-
Alan O Maramara, OD
-
Christopher P Martz, O.D.
-
Lucie N Ngar, O.D.
-
Eric L. Brodsky, O.D.
-
Anh My Phung, O.D.
-
William Keene Ramsay, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180507002497 | FL | Part B Supplier - Clinic/Group Practice | 5698039279 |
Receives reassigned benefits from 11 practitioners Practice locations: Apollo Beach, FL |
National Provider Directory
Locations
445 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 886-2020
Interoperability endpoints
- aphung@asmec.eyefinity-direct.com
- lluu@asmec.eyefinity-direct.com
- wluster@asmec.eyefinity-direct.com
- tlewis@asmec.eyefinity-direct.com
- amaramara@asmec.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | ME109860 | FL | Yes |
Addresses
Primary practice location
25 W College Ave Ste D
Ruskin, FL 33570-4701
Mailing address
25 W College Ave Ste D
Ruskin, FL 33570-4701
Phone (813) 886-2020
Other providers in Ruskin, FL
- Anthony Alan Abouhanna
- Abundant Harvest Health and Healing, LLC
- Yadiel Acevedo
- Mary Ackerman
- Acupuncture & Wellness Clinic of Ruskin, Inc
- Agnes T. Lynch
- Alan O. Maramara, OD, PA
- Nadege Yvette Alexis
- Sabina Aliieva
- All Behavior Counts Therapy
All providers in Ruskin, FL · Ophthalmology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.