Organization Active NPI

Colasurdo Family Eyecare Inc.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1881096048
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4944 Issued in FL
Legal business name
COLASURDO FAMILY EYECARE INC.
Practice address
15302 N Nebraska Ave
Tampa, FL 33613-1448
Phone
(813) 971-4733
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Dr. Victoria Colasurdo, O.D.
Title
President
Phone
(727) 534-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4944 FL Primary

Addresses

Primary practice location

15302 N Nebraska Ave
Tampa, FL 33613-1448

Mailing address

14408 Tennyson Dr
Hudson, FL 34667-8531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1881096048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14408 TENNYSON DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15302 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131448",
            "telephone_number": "813-971-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLASURDO FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "COLASURDO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-534-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2014; 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.