Organization Active NPI

Dr Kevin K Barrido OD PA

  • Optometrist
  • Tampa, FL
National Provider Identifier
1851695357
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3640 Issued in FL
Legal business name
DR KEVIN K BARRIDO OD PA
Practice address
15835 N Dale Mabry Hwy
Tampa, FL 33618-1646
Phone
(813) 269-9883
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Kevin Barrido
Title
President
Phone
(813) 269-9883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3640 FL Primary

Addresses

Primary practice location

15835 N Dale Mabry Hwy
Tampa, FL 33618-1646

Mailing address

4836 Sky Blue Dr
Lutz, FL 33558-8058
Phone (813) 269-9883

Other identifiers 1

IdentifierTypeStateIssuer
001970800MedicaidFL

National Provider Directory

National Provider Directory

Locations

15835 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 269-4764

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1851695357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 SKY BLUE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588058",
            "telephone_number": "813-269-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181646",
            "telephone_number": "813-269-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN K BARRIDO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BARRIDO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-269-9883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001970800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.