Southern Eye Care Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4444 Issued in FL

Legal business name

SOUTHERN EYE CARE ASSOCIATES, LLC

Practice address

3307 Lithia Pinecrest Rd
Valrico, FL 33596-5636

Phone

(813) 654-0220

Fax

(813) 654-0220

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Branning Hollis, O.D.NPI 1386891885

Title

Owner

Phone

(813) 654-0220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Branning Hollis, O.D.

  • Optometrist
  • Valrico, FL
  • NPI 1386891885
  Medicare reassignment Care Compare group NPD Authorized official
• Mona Kardani, O.D.

  • Optometrist
  • Valrico, FL
  • NPI 1811220627
  Medicare reassignment Care Compare group NPD
• Sheree Wright, O.D.

  • Optometrist
  • Tampa, FL
  • NPI 1184038390
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1871801415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965636",
            "telephone_number": "813-654-0220",
            "fax_number": "813-654-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965636",
            "telephone_number": "813-654-0220",
            "fax_number": "813-654-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "BRANNING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-654-0220",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Sledge, MS OTR/L
• Smart Counseling and Art Therapy, LLC
• Eric Michael Smith, PT
• Holly Alise Smith, LMHC
• Bethany Sodergren, OTR/L
• Madison Southworth, RDN
• Spectrum Behavioral Solutions of Tampa
• Bethany Ann Spencer, M.A., CCC-SLP
• Carrie Ann Springer, PH.D.
• Islaine St Vil, LCSW

• Optometrist in Valrico, FL
• Providers in Valrico, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.