Organization Active NPI

Advanced Surgical Mobile Eye Care LLC

  • Ophthalmology Physician
  • Ruskin, FL
National Provider Identifier
1821597147
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME109860 Issued in 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
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Sheri Hluhan
Title
Practice Manager
Phone
(813) 886-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME109860 FL Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507002497 FL Part B Supplier - Clinic/Group Practice 5698039279 Receives reassigned benefits from 11 practitioners
Practice locations: Apollo Beach, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: amaramara@asmec.eyefinity-direct.com
  • Direct secure messaging: aphung@asmec.eyefinity-direct.com
  • Direct secure messaging: lluu@asmec.eyefinity-direct.com
  • Direct secure messaging: tlewis@asmec.eyefinity-direct.com
  • Direct secure messaging: wluster@asmec.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 11

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": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1821597147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "813-886-2020",
            "fax_number": "855-824-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W COLLEGE AVE STE D",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704701",
            "telephone_number": "813-886-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL MOBILE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "HLUHAN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-886-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME109860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.