Ruben Eric Carlson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4262 Issued in FL

Practice address

5201 E Busch Blvd
Tampa, FL 33617-5403

Phone

(813) 979-2929

NPI assigned

Apr 12, 2006

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, DC, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Optometry

Education

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swift Optometry Care PCGroup PAC ID 9739321670, 8 clinicians

Sightrite Medical VA PLLCGroup PAC ID 6204254295, 2 clinicians

Sightrite Medical FL PLLCGroup PAC ID 9931446887, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ericcarlson@direct.eyecare-partners.com
• Direct secure messaging: rcarlson@eapinellas.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sightrite Medical FL PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1568977494

  FL

  Medicare reassignment Care Compare group NPD
• Sightrite Medical VA PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1669095634

  DC

  Medicare reassignment Care Compare group NPD
• Swift Optometry Care PC

  • Optometrist
  • Tolland, CT
  • NPI 1063753887

  FL

  Medicare reassignment Care Compare group NPD
• Infinite Medical FL PLLC

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1194485805
  Medicare reassignment NPD
• Medical Services Corp of Florida

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1598423253
  Medicare reassignment NPD
• Sight and Sun Eyeworks LLC

  dba Clarkson Eye Care

  • Optometrist
  • Pensacola, FL
  • NPI 1932359106
  Medicare reassignment NPD
• Southeast Eye Institute, PA

  dba Eye Associates of Pinellas

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1073625331

  Optometrist

  Medicare reassignment NPD
• Eye Care Vision Optometry P.C.

  • Optometrist
  • Staten Island, NY
  • NPI 1851983654

  FL

  Medicare reassignment NPD
• Central Florida Eye Care Assoicates, Inc.

  • Optometrist
  • Tampa, FL
  • NPI 1285965277
  Authorized official Same address or phone
• Sight and Sun Eyeworks LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1437817467
  NPD
• DRS Carlson, Hollis, & Terrezza and Associates, Inc

  • Optometrist
  • Pensacola, FL
  • NPI 1396060083
  NPD (past)
• Binghamton Ophthalmology Associates, P.C.

  dba South Side Optical

  • Eyewear Supplier
  • Binghamton, NY
  • NPI 1245352996
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1881658565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207151",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175403",
            "telephone_number": "813-979-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Fowler Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125525",
            "country_code": "US",
            "telephone_number": "813-979-2929",
            "fax_number": "813-979-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RUBEN",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02373320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Carlson, REGISTERED INTERN
• Hailey Carlson
• Laurie Ann Carlson, MOTR/L
• Lindsey Carlson, OT
• Mallory Carlson, LMHC
• George T Carlton, CT
• Shatoya Carlton
• Cheryl Carlucci, MD
• William David Carlyon, PH.D., BCABA
• Benjamin Carmel, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.